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Individual

ANTHONY THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
104 SPRING CREEK CT APT 4, LOUISVILLE, KY 40218-3036
(502) 708-8532
Mailing address
104 SPRING CREEK CT APT 4, LOUISVILLE, KY 40218-3036
(502) 708-8532

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
T94397384
KY

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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