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Individual

MS. JOANN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, TLLP

Contact information

Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5353
Mailing address
355 AUBURN AVE, PONTIAC, MI 48342-3206
(248) 310-4666

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
103TC1900X
MI

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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