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Individual

MS. DAIVONNE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1642 LOMALAND DR APT 2014, EL PASO, TX 79935-3811
(915) 494-1634
Mailing address
1642 LOMALAND DR APT 2014, EL PASO, TX 79935-3811
(915) 494-1634

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/24/2021
Last updated
06/24/2021
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