Individual
MS. SHIRLEY MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
161 LANDMARK DR, TAYLORS, SC 29687-2819
(864) 423-6850
Mailing address
4 POPLAR SPRINGS DR, MAULDIN, SC 29662-3192
(864) 423-6850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4811
SC
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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