Individual
CLEO PATRICIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 DEACON RIDGE ST, WAKE FOREST, NC 27587-2873
(919) 446-8668
Mailing address
PO BOX 236, WAKE FOREST, NC 27588-0236
(919) 446-8668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C010870
NC
1041C0700X
Clinical Social Worker
Primary
117905
MA
Other
Enumeration date
10/08/2018
Last updated
10/11/2019
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