Individual
MADELINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 MAIN ST W STE 18B, SNELLVILLE, GA 30078-3072
(770) 985-2050
Mailing address
2795 MAIN ST W STE 18B, SNELLVILLE, GA 30078-3072
(770) 985-2050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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