Traci Thompson, MSW, LICSW
NPI #1932667292 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1932667292
- Entity Type
- Individual
- Name
- Traci Thompson, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Mar 6, 2019
- Last Updated
- Mar 6, 2019
Practice Location
- Address
- 14949 62ND ST N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6102
- Phone
- (651) 430-6620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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