Individual
JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7513 COURT STREET, ELIZABETHTOWN, NY 12932-1293
(518) 873-3670
Mailing address
PO BOX 8, ELIZABETHTOWN, NY 12932-0008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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