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Individual

MRS. LAUREN MARIE THOMSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 N TRAINOR AVE, MANORVILLE, NY 11949-3231
(631) 878-5007
Mailing address
97 PATCHOGUE DR, ROCKY POINT, NY 11778-9348
(631) 848-7524

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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