Individual
STACEY-ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ORIENT AVE, JERSEY CITY, NJ 07305-3613
(917) 714-9620
Mailing address
115 ORIENT AVE, JERSEY CITY, NJ 07305-3613
(917) 714-9620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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