Individual
DWONNA DENISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
13011 S 104TH AVE, PALOS PARK, IL 60464-1506
(708) 448-3300
(708) 448-6972
Mailing address
19818 PARK AVE, LYNWOOD, IL 60411-1394
(708) 889-9897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007608
IL
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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