Individual
MARIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 OAK ST, KENOVA, WV 25530-1519
(304) 908-1056
(304) 400-6620
Mailing address
537 BROAD HOLLOW RD, HUNTINGTON, WV 25704-9525
(304) 730-3015
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
07/18/2022
Last updated
11/06/2024
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