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Individual

CAMILLE MARIE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW116678
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
08/02/2022
Last updated
07/20/2023
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