Individual
ALVIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3309 LA COSTA WAY, RALEIGH, NC 27610-8275
(919) 665-3704
Mailing address
3309 LA COSTA WAY, RALEIGH, NC 27610-8275
(919) 665-3704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006936
NC
Other
Enumeration date
06/09/2010
Last updated
10/04/2010
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