Individual
AMBER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 355-0993
(918) 355-0995
Mailing address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 382-7300
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/17/2026
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