Individual
DALE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
370 SILVER SPRING CIR, COLORADO SPRINGS, CO 80919-1706
(719) 237-5472
Mailing address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4603
(719) 526-7155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31713
TX
Other
Enumeration date
08/10/2009
Last updated
03/02/2012
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