Most Relevant Information
Provider Data
| NPI Number: | 1003360439 |
| Provider Name: | JENNIFER LYNN THOMPSON LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 24580 |
Most Important Dates
| Enumeration Date: | 08/15/2016 |
| Last Updated: | 08/15/2016 |
Provider Practice Location
606 25TH AVE S STE 103
SAINT CLOUD
MN
563014810
Practice Location Phone/Fax
| Phone: | 3206542552 |
| Fax: | 3206548044 |
Provider Mailing Location
606 25TH AVE S STE 103
SAINT CLOUD
MN
563014810
Provider Mailing Phone/Fax
| Phone: | 3206542552 |
| Fax: | 3206548044 |