Individual
MRS. MOLLY MAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., CMII, BHRS
Contact information
Practice address
510 5TH ST., ALVA, OK 73717
(580) 327-0565
(580) 327-1010
Mailing address
4436 NW 50TH ST., OKLAHOMA CITY, OK 73112
(580) 327-0565
(580) 327-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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