Individual
MR. SAMUEL B THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LISW
Contact information
Practice address
210 2ND ST SUITE 200, CEDAR RAPIDS, IA 52401
(319) 364-4593
(866) 266-5895
Mailing address
5400 KIRKWOOD BLVD SW, FOUR OAKS, CEDAR RAPIDS, IA 52404
(319) 364-0259
(866) 290-5565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LISW 03897
IA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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