Individual
MARRISSA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3603 S BLACKBERRY LN, ATOKA, OK 74525-5447
(580) 889-6459
(580) 889-6518
Mailing address
3603 S BLACKBERRY LN, ATOKA, OK 74525-5447
(580) 889-6459
(580) 889-6518
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
10/27/2025
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