Individual
CHRISTINA LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-4400
(216) 283-5359
Mailing address
13422 KINSMAN RD, CLEVELAND, OH 44120-4410
(216) 283-4400
(216) 283-5359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1501107
OH
1041C0700X
Clinical Social Worker
Primary
I.1901705
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267718
—
OH
Enumeration date
03/07/2018
Last updated
06/15/2021
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