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Individual

MRS. DE'ASIA LANEE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-6089
(937) 265-6028
Mailing address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
(937) 265-6028

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700459-SUPV
OH
1041C0700X
Clinical Social Worker
S.1101268
OH

Other

Enumeration date
06/19/2015
Last updated
06/11/2024
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