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Individual
LADAN MIREMADI THOMPSON
Active
Individual
LADAN MIREMADI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303414
—
MA
Enumeration date
12/05/2011
Last updated
09/14/2023
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