Individual
IMOGEN THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
343 OLD GEORGES RD STE 201, NORTH BRUNSWICK, NJ 08902-4801
(732) 982-2888
Mailing address
45 OVERLOOK AVE, BASKING RIDGE, NJ 07920-2660
(908) 548-5171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00766000
NJ
Other
Enumeration date
01/19/2024
Last updated
01/22/2024
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