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Individual

DEMETRA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
513 MAIN ST, NORTH LITTLE ROCK, AR 72114-5329
(501) 777-5969
Mailing address
513 MAIN ST, NORTH LITTLE ROCK, AR 72114-5329
(501) 777-5969

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2012186
AR
101YP2500X
Professional Counselor
Primary
P2310011
AR
101YP2500X
Professional Counselor

Other

Enumeration date
01/12/2021
Last updated
06/07/2024
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