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Individual

DANIEL L THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
97 CROSS ST, WESTERLY, RI 02891-2448
(401) 584-9596
(401) 315-5569
Mailing address
97 CROSS ST, WESTERLY, RI 02891-2448
(401) 584-9596
(401) 315-5569

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00383
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37350
BLUE CROSS OF RI
RI
01
414294
BLUE CHIP
RI
05
7002713
RI
01
809005948
MEDICARE
RI
Enumeration date
12/17/2007
Last updated
12/28/2016
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