Individual
LARISSA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
39348 POLO CLUB DR APT 102, FARMINGTON HILLS, MI 48335-5635
(248) 497-8122
Mailing address
39348 POLO CLUB DR APT 102, FARMINGTON HILLS, MI 48335-5635
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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