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NPI Code Detail

MEDICARE: MR. DAVID ALEXANDER THOMSON LCSW

MEDICARE:  MR. DAVID ALEXANDER THOMSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS6951CA

General Provider Information

NPI Number : 1205814415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ALEXANDER THOMSON LCSW
Provider Business Mailing Address
First Line : 3569 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1866
Country : US
Telephone Number : 415-567-0095
Fax Number :
Provider Business Practice Location Address
First Line : 3569 SACRAMENTO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1866
Country : US
Telephone Number : 415-567-0095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DAVID ALEXANDER THOMSON LCSW” Practice Location

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