| NPI | 1295431377 |
|---|---|
| Doing Business As | SALT RIVER THERAPY LCSW PLLC |
| Entity Type | Organization |
| Authorized Contact | TERESA THOMPSON Owner 347-766-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |