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Individual

KEITH A. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
7801 OLD BRANCH AVE, 212, CLINTON, MD 20735-1608
(301) 856-8516
Mailing address
1610 GOLF COURSE DR, MITCHELLVILLE, MD 20721-3158
(240) 464-6166

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3682
MD

Other

Enumeration date
10/30/2008
Last updated
10/12/2012
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