Individual
CARRIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 DELICADO DR, ROSWELL, NM 88201-6627
(515) 778-7842
Mailing address
3005 DELICADO DR, ROSWELL, NM 88201-6627
(515) 778-7842
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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