Individual
MRS. AUDRA C. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
17407 LORAIN AVE STE 201, CLEVELAND, OH 44111-4022
(440) 202-9640
Mailing address
809 HEBRON RD, HEATH, OH 43056-1357
(440) 202-9640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1303343S
OH
Other
Enumeration date
03/15/2011
Last updated
01/11/2024
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