Individual
MARILYN LA-VERN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14972 AFSHARI CIRCLE, FLORISSANT, MO 63034
(314) 831-5266
(314) 831-5337
Mailing address
14972 AFSHARI CIRCLE, FLORISSANT, MO 63034
(314) 831-5266
(314) 831-5337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000550
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493469316
—
MO
Enumeration date
04/15/2008
Last updated
06/16/2025
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