Individual
DEJA SHEREE RENEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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