Individual
SARA L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
6845 FAIRVIEW RD, CHARLOTTE, NC 28210
(704) 366-8500
(704) 969-1175
Mailing address
6845 FAIRVIEW RD, CHARLOTTE, NC 28210
(704) 366-8500
(704) 969-1175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C002230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7917260
—
NC
Enumeration date
03/02/2006
Last updated
01/30/2008
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