Provider Information for 1649409798
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Ms. RENEE LEBEAU THOMPSON LCSW
Sex: Female
NPI: 1649409798
Last Updated: 2009-07-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1649409798 | ||||||||
| Enumeration Date | 2009-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7330 LEXINGTON LN CLEARWATER, FL 33764-7024 United States Phone: 727-538-0909 | Fax: | ||||||||
| Primary Practice Address | 7330 LEXINGTON LN CLEARWATER, FL 33764-7024 United States Phone: 727-538-0909 | Fax: | ||||||||
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