Individual
MR. CORY EDWARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CTRS
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3500
Mailing address
474 RIDGELAND AVE, VALPARAISO, IN 46385-4163
(219) 464-7628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005280A
IN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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