Individual
MR. JULIUS WALLACE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
26740 OLD STATE RD, CRISFIELD, MD 21817-2114
(410) 651-4595
(410) 968-0191
Mailing address
26740 OLD STATE RD, CRISFIELD, MD 21817-2114
(410) 651-4595
(410) 968-0191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817700700
—
MD
Enumeration date
06/12/2006
Last updated
03/05/2008
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