Individual
TRACY MITCHELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2274 MOUNT MOOSILAUKE HWY, PIKE, NH 03780-5615
(603) 989-3500
(603) 989-3169
Mailing address
PO BOX 175, HAVERHILL, NH 03765-0175
(603) 989-3500
(603) 989-3169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0091985
VT
1041C0700X
Clinical Social Worker
Primary
1778
NH
1041C0700X
Clinical Social Worker
19021
MN
Other
Enumeration date
06/01/2009
Last updated
10/13/2014
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