Most Relevant Information
Provider Data
| NPI Number: | 1003661547 |
| Provider Name: | LETANNDRA THOMPSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 3020G |
Most Important Dates
| Enumeration Date: | 04/18/2024 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
12260 HIGHWAY 43
RUSSELLVILLE
AL
356534737
Practice Location Phone/Fax
| Phone: | 2562779440 |
| Fax: |
Provider Mailing Location
308 HICKORY DR
MUSCLE SHOALS
AL
356613014
Provider Mailing Phone/Fax
| Phone: | 2566520170 |
| Fax: |