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Individual

TIMOTHY JAMES THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1675 CURLEW DRIVE, IDAHO FALLS, ID 83406-4718
(208) 529-4300
(208) 529-1627
Mailing address
1675 CURLEW DRIVE, IDAHO FALLS, ID 83406-4718
(208) 529-4300
(208) 529-1627

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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