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Individual

CHALISA RAEANNA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
737 FAWCETT AVE, TACOMA, WA 98402-5503
(253) 396-5800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WA
1041C0700X
Clinical Social Worker
SC61565071
WA

Other

Enumeration date
10/21/2022
Last updated
09/25/2024
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