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Individual

MR. ALEX SHAQUILLE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, MSW

Contact information

Practice address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(862) 801-0974
(973) 860-6164
Mailing address
18-20 LACKAWANNA PLZ STE 200, MONTCLAIR, NJ 07042-3642
(862) 801-0974
(973) 860-6164

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06108100
NJ

Other

Enumeration date
04/10/2021
Last updated
07/05/2025
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