Individual
ASHLEY TONIQUE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RES. REHAB 3.1
Contact information
Practice address
2799 1/2 THE ALAMEDA, BALTIMORE, MD 21218-4921
(443) 473-5771
Mailing address
6315 ELINORE AVE, BALTIMORE, MD 21206-1722
(443) 473-5771
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MD
Other
Enumeration date
03/26/2020
Last updated
05/24/2021
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