Individual
MANDI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 N FAIRWAY LN, MOORESVILLE, IN 46158-7351
(765) 761-7050
Mailing address
9420 N FAIRWAY LN, MOORESVILLE, IN 46158-7351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
IN
222Q00000X
Developmental Therapist
Primary
—
IN
247200000X
Other Technician
—
IN
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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