Individual
HEATHER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 VIA BARRETT # B, SAN LORENZO, CA 94580-1315
(510) 421-1666
Mailing address
2005 VIA BARRETT # B, SAN LORENZO, CA 94580-1315
(510) 421-1666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2017
Last updated
05/01/2024
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