| Peggy A Thomson Lcsw | |
|
3451 Bonita Bay Blvd Suite 209 Bonita Springs FL 34134-4354 | |
| (239) 949-3199 | |
| (239) 949-7054 |
| Full Name | Peggy A Thomson Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3451 Bonita Bay Blvd, Bonita Springs, Florida |
| Authorized Official Name and Position | Peggy A Thomson (OWNER) |
| Authorized Official Contact | 2399493199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy A Thomson Lcsw 3451 Bonita Bay Blvd Suite 209 Bonita Springs FL 34134-4354 Ph: (239) 949-3199 | Peggy A Thomson Lcsw 3451 Bonita Bay Blvd Suite 209 Bonita Springs FL 34134-4354 Ph: (239) 949-3199 |
| NPI Number | 1134540511 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134540511 | NPI | - | NPPES |
| 008771600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5225 (Florida) | Primary |
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