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Individual

REGGINA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
129 W 5TH ST, LONG BEACH, CA 90802-2335
(562) 283-4845
Mailing address
2011 VALENTINE CT, NEW ORLEANS, LA 70114-3439
(504) 453-7649

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
225A00000X
Music Therapist
Primary
12748
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12748
CMBT
CA
Enumeration date
12/29/2023
Last updated
12/29/2023
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