Individual
MR. JEFFREY WILLIAM THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW CSW
Contact information
Practice address
167 LEOTA BLVD, WATERFORD, MI 48327-3631
(248) 310-7081
Mailing address
167 LEOTA BLVD, WATERFORD, MI 48327-3631
(248) 310-7081
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6801063750
MI
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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