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1194954016
BRUCE TODD THOMPSON
AUSTIN, TX
NPI
1194954016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 01194)
Enumeration Date
2009-07-13
Last Update Date
2009-07-13
Business Address
Mr. BRUCE TODD THOMPSON LCSW
4815 GERONA DR
AUSTIN, TX 78759-4914
Phone number: 512-228-8847
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Mailing Address
Mr. BRUCE TODD THOMPSON LCSW
4815 GERONA DR
AUSTIN, TX 78759-4914
Phone number: 512-228-8847
Copy
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