Individual
MISS AMANDA DAWN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA BHRS
Contact information
Practice address
112 WILSON ST, APT. 219, DURANT, OK 74701-3514
(580) 579-0014
Mailing address
112 WILSON ST, APT. 219, DURANT, OK 74701-3514
(580) 579-0014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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