Individual
MARY AGNES THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6263 POPLAR AVE STE 620, MEMPHIS, TN 38119-4701
(901) 654-5551
Mailing address
3801 SWAN RIDGE CIR N, MEMPHIS, TN 38122-4600
(901) 907-4426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6085
TN
Other
Enumeration date
06/21/2023
Last updated
02/05/2026
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