Individual
MRS. JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
4517 S WASHINGTON ST, MARION, IN 46953-5207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001183A
IN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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