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Individual

MS. LUANN KAY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
1861 S PATRICK DR, BOX 166, INDIAN HARBOUR BEACH, FL 32937-4377
(321) 610-8880
(321) 610-8880
Mailing address
211 CHANDLER ST, APT. 312, CAPE CANAVERAL, FL 32920-2665
(321) 794-3918
(321) 610-8880

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
764145100
FL
Enumeration date
08/26/2009
Last updated
08/26/2009
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