Individual
KATHLEEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 GODDARD ST, CUMBERLAND, RI 02864-7251
(508) 904-0367
Mailing address
70 GODDARD ST, CUMBERLAND, RI 02864-7251
(508) 904-0367
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT02345
RI
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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