Individual
MS. TAIVIA NICOSI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(404) 435-2318
Mailing address
1822 PANOLA RD, LITHONIA, GA 30058-5518
(404) 435-2318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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