Individual
TERRY JOSEPH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14527 7TH ST, DADE CITY, FL 33523-3102
(352) 521-1474
(352) 521-1477
Mailing address
PO BOX 428, NEW PORT RICHEY, FL 34656-0428
(727) 841-4200
(727) 841-4354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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