Individual
SHARON L. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
27374 STATE HIGHWAY 21, TOMAH, WI 54660-4501
(608) 372-5813
(608) 372-0889
Mailing address
PO BOX 248, TOMAH, WI 54660-0248
(608) 372-5813
(608) 372-0889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15347-130
WI
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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