Individual
MATTHEW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 489-4750
(575) 586-4414
Mailing address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 489-4750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-3347
NM
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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