Individual
AUDRA SUE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4362 E MICHAEL LN, OLNEY, IL 62450-3766
(618) 302-1291
Mailing address
4362 E MICHAEL LN, OLNEY, IL 62450-3766
(618) 302-1291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018532
IL
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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