Individual
DEBRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
665 W WARREN AVE, LONGWOOD, FL 32750-4004
(800) 614-4124
Mailing address
665 W WARREN AVE, LONGWOOD, FL 32750-4004
(800) 614-4124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW10977
FL
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119674700
—
FL
Enumeration date
03/25/2009
Last updated
10/16/2024
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