Individual
DENISE ELLEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 WINGS STREET, SAN DIEGO, CA 92110
(619) 980-5626
Mailing address
3255 WINGS STREET, SAN DIEGO, CA 92110
(619) 980-5626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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