Individual
JEAN C THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
315 NE EVANS ST, MCMINNVILLE, OR 97128-4627
(503) 687-1700
Mailing address
12140 SW MCCABE CHAPEL RD, MCMINNVILLE, OR 97128-8514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4758
OR
Other
Enumeration date
01/29/2007
Last updated
11/10/2011
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