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Individual

DAISY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCDC

Contact information

Practice address
4117 VINALOPO DR, AUSTIN, TX 78738-6994
(541) 805-4340
Mailing address
4117 VINALOPO DR, AUSTIN, TX 78738-6994
(541) 805-4340

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58303
TX

Other

Enumeration date
02/01/2016
Last updated
02/01/2016
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