Individual
DIANA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1715 SANTA FE DR, WEATHERFORD, TX 76086-6419
(817) 573-2662
(817) 573-1169
Mailing address
2101 W PEARL ST, GRANBURY, TX 76048-1894
(817) 579-4400
(254) 965-4308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64096
TX
Other
Enumeration date
07/21/2010
Last updated
12/05/2023
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