Individual
MARJORY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
1349 E STROOP RD, KETTERING, OH 45429-4925
(937) 603-5746
Mailing address
1349 E STROOP RD, KETTERING, OH 45429-4925
(937) 603-5746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E-0003501
OH
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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