Individual
MR. MICHAEL SUNG IL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7600 BOONE AVE N STE 2, BROOKLYN PARK, MN 55428-1089
(763) 515-2463
(763) 515-2442
Mailing address
7600 BOONE AVE N STE 2, BROOKLYN PARK, MN 55428-1089
(763) 515-2463
(763) 515-2442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15191
MN
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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