Individual
LATRICE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3785 PETZINGER RD, COLUMBUS, OH 43232-4237
(614) 966-6869
Mailing address
3785 PETZINGER RD, COLUMBUS, OH 43232-4237
(614) 966-6869
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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