Individual
BRENDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CARPENTERS RD, QUINCY, FL 32352-0307
(850) 284-2228
Mailing address
32 CARPENTERS RD, QUINCY, FL 32352-0307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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