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Individual

SHELLY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13228 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(240) 489-1108
Mailing address
5801 NICHOLSON LN APT 1714, NORTH BETHESDA, MD 20852-5728
(301) 452-0771

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14080
MD

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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