Individual
VICTRENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 LANDER RD, CLEVELAND, OH 44124-5712
(216) 831-2255
Mailing address
3542 GLENCAIRN RD, SHAKER HEIGHTS, OH 44122-5029
(216) 609-8468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
10/16/2021
Last updated
10/16/2021
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