Individual
MRS. LARAVEN DANIELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8848 RED OAK BLVD STE AA, CHARLOTTE, NC 28217-5595
(980) 422-5887
Mailing address
13040 ARDMORE FOREST RD APT 306, HUNTERSVILLE, NC 28078-0220
(864) 650-3277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002652
NC
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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