Individual
BRIANNA NICOLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 180TH AVE, HERSEY, MI 49639-8577
(701) 650-8409
Mailing address
3391 180TH AVE, HERSEY, MI 49639-8577
(701) 650-8409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105676
MI
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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