Individual
MS. LORRI SUZANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SIMONE WAY, ST AUGUSTINE, FL 32086-7750
(904) 829-1770
(904) 825-0604
Mailing address
201S SIMONE WAY, ST AUGUSTINE, FL 32086-7750
(904) 829-1770
(904) 825-0604
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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