Individual
MARY DIANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2 BROAD ST UNIT 8, WESTERLY, RI 02891-1816
(401) 388-8202
Mailing address
2 BROAD ST UNIT 8, WESTERLY, RI 02891-1816
(401) 388-8202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW00850
RI
1041C0700X
Clinical Social Worker
Primary
ISW00850
RI
Other
Enumeration date
07/24/2006
Last updated
04/05/2021
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