Individual
MALLORY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
425 BROADWAY, PADUCAH, KY 42001-2949
(270) 442-7121
Mailing address
618 NORTH GREEN STREET, HENDERSON, KY 42420
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
165372
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100391420
—
KY
Enumeration date
06/12/2011
Last updated
05/23/2024
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