Individual
MICHA RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Mailing address
179 STATION PL, HURRICANE, WV 25526-6578
(304) 760-6300
(304) 201-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0922
WV
235Z00000X
Speech-Language Pathologist
Primary
2311
WV
Other
Enumeration date
12/07/2022
Last updated
12/08/2022
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