Individual
CAROLYN J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 SEVENTH AVE, STE 4124, FORT WORTH, TX 76104-2733
(682) 885-7439
(682) 885-1672
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103552
TX
1041C0700X
Clinical Social Worker
Primary
103552
TX
Other
Enumeration date
06/09/2023
Last updated
07/03/2024
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