Individual
ANDREA NICOLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 317-2672
Mailing address
528 CRESTON ST, MUSKEGON, MI 49442-2223
(231) 788-8805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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