Individual
MRS. THERESA A THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9062 W OAK LN, LAKE CITY, MI 49651-8062
(231) 839-0083
Mailing address
9062 W OAK LN, LAKE CITY, MI 49651-8062
(231) 839-0083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01117135
MI
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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