Individual
CHANTAL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8580
Mailing address
76 HOBSON ST, BRIGHTON, MA 02135-1851
(203) 648-2931
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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