Individual
MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1612 WADSWORTH ST, RADFORD, VA 24141-3414
(540) 731-3647
Mailing address
1612 WADSWORTH ST, RADFORD, VA 24141-3414
(540) 731-3647
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-541847
VA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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