Individual
RENEE BETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 W HAMPTON AVE, MILWAUKEE, WI 53218-4949
(800) 438-1772
(262) 293-9737
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
127285-121
WI
1041C0700X
Clinical Social Worker
Primary
9492-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059870
—
WI
Enumeration date
08/29/2016
Last updated
08/20/2020
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