Most Relevant Information
Provider Data
| NPI Number: | 1003295759 |
| Provider Name: | MACHELLE DENINE MADSEN THOMPSON PHD, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW12492 |
Most Important Dates
| Enumeration Date: | 05/27/2015 |
| Last Updated: | 05/27/2015 |
Provider Practice Location
7188 OX BOW CIR
TALLAHASSEE
FL
323123569
Practice Location Phone/Fax
| Phone: | 8505098950 |
| Fax: |
Provider Mailing Location
7188 OX BOW CIR
TALLAHASSEE
FL
323123569
Provider Mailing Phone/Fax
| Phone: | 8505098950 |
| Fax: |