Individual
BROOKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S. JT STITES, SALLISAW, OK 74955
(918) 775-7787
Mailing address
205 S. JT STITES, SALLISAW, OK 74955
(918) 775-7787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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