Individual
PAUL D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W MONROE ST, BLOOMINGTON, IL 61701-3997
(309) 825-0401
Mailing address
9580 DELTA CIR, BLOOMINGTON, IL 61705-6893
(309) 825-0401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107647
IL
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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