Individual
MRS. BERNICE JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
9378 OLIVE BLVD, SUITE 317, SAINT LOUIS, MO 63132-3215
(314) 994-9344
Mailing address
9378 OLIVE BLVD, SUITE 317, SAINT LOUIS, MO 63132-3215
(314) 994-9344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
104100000X
MO
251V00000X
Voluntary or Charitable Agency
251V00000X
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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