Individual
JENNA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
408 E NORTH ST, 4166 SIERRA CIRCLE, MEDINA, OH 44256-1952
(567) 277-3679
Mailing address
408 E NORTH ST, 4166 SIERRA CIRCLE, MEDINA, OH 44256-1952
(567) 277-3679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1000179
OH
Other
Enumeration date
07/23/2010
Last updated
04/06/2015
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