Most Relevant Information
Provider Data
NPI Number: | 1003365818 |
Provider Name: | SHAILEEN THOMPSON LMSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 2016009353 |
Most Important Dates
Enumeration Date: | 09/22/2016 |
Last Updated: | 09/22/2016 |
Provider Practice Location
307 LOCUST ST
COLUMBIA
MO
652014203
Practice Location Phone/Fax
Phone: | 5738159955 |
Fax: | 5734494640 |
Provider Mailing Location
307 LOCUST ST
COLUMBIA
MO
652014203
Provider Mailing Phone/Fax
Phone: | 5738159955 |
Fax: | 5734494640 |