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Individual

JESSICA MICHELLE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
123 CLARKDALE CT, DAWSON SPRINGS, KY 42408-1405
(270) 584-2350

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/12/2019
Last updated
12/16/2019
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