Individual
DUANE HUGH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
2475 15TH ST NW, SUITE F, NEW BRIGHTON, MN 55112-5605
(763) 560-4860
(763) 503-1430
Mailing address
2475 15TH STREET NW, SUITE F, NEW BRIGHTON, MN 55112
(763) 560-4860
(763) 503-1430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1424
MN
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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