Individual
ANGELA B. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 JANUARY AVE, FERGUSON, MO 63135-1953
(314) 967-9023
Mailing address
420 JANUARY AVE, FERGUSON, MO 63135-1953
(314) 967-9023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19027
MO
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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