Individual
TIERRA RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000
Mailing address
4054 HARPER FRANKLIN AVE, AUGUSTA, GA 30909-9111
(706) 829-9634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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