Individual
MIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(218) 935-9414
Mailing address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(218) 935-9414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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