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Individual

MRS. BROOKE R THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS/LPCC

Contact information

Practice address
4756 FISHBURG RD STE F, DAYTON, OH 45424-5462
(937) 309-0906
(937) 365-9010
Mailing address
PO BOX 24809, DAYTON, OH 45424-0809
(937) 309-0906
(937) 365-9010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1100092
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0318293
OH
Enumeration date
11/06/2012
Last updated
02/05/2019
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