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General NPI Number Information
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NPI Number | 1194181743
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Entity Type | Individual
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Provider Name | ERICA FELISA THOMPSON LCSW, MSW, MBA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | JBSA FT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 726-228-0296
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Fax |
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Provider Business Mailing Address
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Address Line | 7218 MISTY RIDGE DR
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City | CONVERSE
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State | TX
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Zip | 78109-2709
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Country | US
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Telephone | 210-992-9367
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 62345
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License Number State | TX
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