Individual
REAGAN L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
Mailing address
2302 OKLAHOMA ST, MUSKOGEE, OK 74401-2775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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