Individual
MOLLY K THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW/CC
Contact information
Practice address
125 STROUDWATER ST, WESTBROOK, ME 04092-4045
(603) 682-6659
Mailing address
7 DIRIGO STREET, PORTLAND, ME 04102-2239
(603) 682-6659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC11603
ME
1041C0700X
Clinical Social Worker
Primary
LC12579
ME
Other
Enumeration date
07/02/2008
Last updated
08/04/2010
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