Organization
LIVEWELL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWONNA THOMPSON PSY.D. (OWNER)
(513) 306-3230
Entity
Organization
Contact information
Practice address
7781 COOPER RD, 2ND FLOOR, SUITE 5, CINCINNATI, OH 45242-7728
(513) 306-3230
Mailing address
PO BOX 613, CHANNAHON, IL 60410-0613
(815) 521-1889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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