Individual
BRIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 PONCE DE LEON PL, DECATUR, GA 30030-5122
(404) 932-0696
Mailing address
8647 EARTHENWARE DR, CHARLOTTE, NC 28269-7353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003623
GA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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