Individual
JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
41900 FENWICK ST, LEONARDTOWN, MD 20650-3814
(301) 475-8860
Mailing address
1920 S 16TH ST, WILMINGTON, NC 28401-6611
(910) 632-2191
(910) 332-5739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
22732
MD
1041C0700X
Clinical Social Worker
Primary
C013790
NC
Other
Enumeration date
06/02/2017
Last updated
06/30/2021
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