John Larry Thompson, LCSW Valid NPI

Individual provider · Clinical Social Worker · Eatontown, NJ

NPI

1538285911

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05210800 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-03-21

Last updated

2009-10-15