Individual
MRS. CHRISTIE JOANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 UPSHAW LN, KEVIL, KY 42053-9364
(270) 994-4819
Mailing address
318 UPSHAW LN, KEVIL, KY 42053-9364
(270) 994-4819
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120601
FIRST STEPS DEVELOPMENTAL INTERVENTIONIST
—
Enumeration date
03/29/2009
Last updated
03/29/2009
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