Individual
MARK ROBERT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 E MAIN ST STE 3, SAINT ANTHONY, ID 83445-1546
(208) 356-4900
(208) 624-4030
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9171149
ID
Other
Enumeration date
09/12/2025
Last updated
09/18/2025
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