Individual
LADAWN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 856-0872
Mailing address
54 FOREST ST, HARTFORD, CT 06105-3204
(860) 856-0872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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