Individual
COREY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4507 170TH AVE, HERSEY, MI 49639-8785
(231) 912-0006
Mailing address
4507 170TH AVE, HERSEY, MI 49639-8785
(231) 912-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091615
MI
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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