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Individual
MISTY LE'ANN THOMPSON
Active
Individual
MISTY LE'ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193282401
—
TX
01
—
88750L
BCBS
TX
Enumeration date
06/20/2008
Last updated
11/04/2008
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