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Individual

SHAYNA LYN MIKA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1815 CLEARBROOK DR, BURLINGTON, KY 41005-9376
(540) 577-3412
Mailing address
1815 CLEARBROOK DR, BURLINGTON, KY 41005-9376
(540) 577-3412

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904018190
VA
1041C0700X
Clinical Social Worker
Primary
259992
KY

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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