Individual
LATASHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
336 RIVERDALE RD, SIMPSONVILLE, SC 29680-7747
(864) 341-7588
Mailing address
336 RIVERDALE RD, SIMPSONVILLE, SC 29680-7747
(864) 341-7588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14401
SC
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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