Individual
JANICE M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165-6009
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3356
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503863
—
MT
01
—
71375
BCBSMT
MT
Enumeration date
09/30/2005
Last updated
02/02/2016
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