Individual
VONDA MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 MANHATTAN BLVD STE 403, HARVEY, LA 70058
(504) 405-0210
Mailing address
4751 SHALIMAR DR, NEW ORLEANS, LA 70126-3828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/14/2018
Last updated
07/27/2018
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