Individual
MRS. KENNEDY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 4TH AVE SE, ARDMORE, OK 73401-8216
(580) 300-3010
Mailing address
7220 REDS RD, MARIETTA, OK 73448-7285
(580) 319-6537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
11/17/2022
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