Individual
CASSIDY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4240 WILD RIDGE DR, CHARLOTTE, NC 28215-8327
(980) 244-1057
Mailing address
4240 WILD RIDGE DR, CHARLOTTE, NC 28215-8327
(980) 244-1057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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