| Rosa E.thompson, Lcsw, A Professional Llc | |
|
111 N Hasler Blvd Ste 209 Bastrop TX 78602-3984 | |
| (512) 581-4337 | |
| (512) 581-4360 |
| Full Name | Rosa E.thompson, Lcsw, A Professional Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 N Hasler Blvd Ste 209, Bastrop, Texas |
| Authorized Official Name and Position | Rosa Esmeralda Thompson (OWNER) |
| Authorized Official Contact | 5125814337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosa E.thompson, Lcsw, A Professional Llc 111 N Hasler Blvd Ste 209 Bastrop TX 78602-3984 Ph: (512) 581-4337 | Rosa E.thompson, Lcsw, A Professional Llc 111 N Hasler Blvd Ste 209 Bastrop TX 78602-3984 Ph: (512) 581-4337 |
| NPI Number | 1730435363 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730435363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41005 (Texas) | Primary |
| 251B00000X | Case Management | 41005 (Texas) | Secondary |
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