Provider Information for 1588966485
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Mrs. GLORIA ANN THOMPSON MSW LCSW
Sex: Female
NPI: 1588966485
Last Updated: 2024-05-08
Certification Date: 2024-05-08
Certification Date: 2024-05-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588966485 | ||||||||
| Enumeration Date | 2010-11-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4350 N CENTENNIAL DR BLOOMINGTON, IN 47404-9608 United States Phone: 812-807-4060 | Fax: | ||||||||
| Primary Practice Address | 4350 N CENTENNIAL DR BLOOMINGTON, IN 47404-9608 United States Phone: 812-807-4060 | Fax: | ||||||||
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