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Provider Information for 1487024063


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Mrs. TAMARA ELAINE JONES-THOMPSON LCSW


Sex: Female

NPI: 1487024063
Last Updated: 2024-06-28
Certification Date: 2024-06-28

Details

NameValue
NPI1487024063
Enumeration Date2015-09-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 114 N INGLEWOOD DR
MONROE, LA 71203-3933
United States

Phone: 318-547-0887 | Fax:318-325-8749
 
Primary Practice Address 1210 STUBBS AVE
MONROE, LA 71201-5622
United States

Phone: 318-325-8748 | Fax:318-325-8749
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalLA4804
No 104100000X - Social Worker LA4804