Most Relevant Information
Provider Data
| NPI Number: | 1003039439 |
| Provider Name: | GLORIA THOMPSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 3188 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 06/24/2011 |
Provider Practice Location
5635 MAIN STREET
SUITE A #225
ZACHARY
LA
70791
Practice Location Phone/Fax
| Phone: | 2256037058 |
| Fax: | 2256549300 |
Provider Mailing Location
5635 MAIN STREET
SUITE A #225
ZACHARY
LA
70791
Provider Mailing Phone/Fax
| Phone: | 2256037058 |
| Fax: | 2256549300 |