Individual
JEANIE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W15532 SPORTSMAN RD, GOODMAN, WI 54125-9763
(715) 548-0051
Mailing address
405 4TH STREET, GOODMAN, WI 54125-9300
(715) 548-0051
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
03/10/2023
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