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Individual

LORRIE A. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6918
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6918

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15738-132
WI
104100000X
Social Worker
7407123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699922575
WI
Enumeration date
08/22/2008
Last updated
01/23/2013
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