Individual
SHARON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCIDDT
Contact information
Practice address
603 N FIRST ST, COLLINS, MS 39428-1111
(601) 765-8958
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0702
MS
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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