Provider Information for 1013510155
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Ms. JENNIFER LYNN THOMPSON LCSW
Sex: Female
NPI: 1013510155
Last Updated: 2020-11-20
Certification Date: 2020-11-20
Certification Date: 2020-11-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013510155 | ||||||||
| Enumeration Date | 2020-11-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2721 DEL PRADO BLVD S STE 200 CAPE CORAL, FL 33904-5783 United States Phone: 239-223-2751 | Fax: | ||||||||
| Primary Practice Address | 2721 DEL PRADO BLVD S STE 200 CAPE CORAL, FL 33904-5783 United States Phone: 239-223-2751 | Fax: | ||||||||
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