Individual
PHILLIP JAY THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5208 W RENO AVE, OKLAHOMA CITY, OK 73127-6344
(405) 948-4900
(405) 948-4933
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
21109
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2018
Last updated
08/30/2024
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