Individual
LENNARD THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8330 N 19TH AVE APT 2071, PHOENIX, AZ 85021-5276
(347) 854-2687
Mailing address
8330 N 19TH AVE APT 2071, PHOENIX, AZ 85021-5276
(347) 854-2687
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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