Individual
DEBRA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 PROSPECT ST, SUITE 3B, MIDLAND PARK, NJ 07432-1606
(201) 652-4702
Mailing address
6 PROSPECT ST, SUITE 3B, MIDLAND PARK, NJ 07432-1606
(201) 652-4702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01380600
NJ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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