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Individual

KIMBERLY DAVIS THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1406 LANCELOT AVE, WOLFFORTH, TX 79382-3207
(806) 224-0200
Mailing address
1406 LANCELOT AVE, WOLFFORTH, TX 79382-3207
(903) 455-7794

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33149
TX

Other

Enumeration date
03/04/2014
Last updated
09/02/2015
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