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Individual

MR. DANIEL ALLEN THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
525 HERCULES DR, SUITE 1A, COLCHESTER, VT 05446-5993
(518) 593-3256
Mailing address
240 WEST ST, UNIT G, WINOOSKI, VT 05404-1714
(518) 593-3256

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0081281
VT

Other

Enumeration date
08/12/2012
Last updated
08/12/2012
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