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1124187935
JACQUELYN KAY THOMPSON
WHITE BEAR LAKE, MN
NPI
1124187935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP2495)
Enumeration Date
2006-12-07
Last Update Date
2007-07-08
Business Address
-- JACQUELYN KAY THOMPSON PhD. , LP., MSE
1920 ORCHARD LN
WHITE BEAR LAKE, MN 55110-5330
Phone number: 651-338-8702
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Mailing Address
-- JACQUELYN KAY THOMPSON PhD. , LP., MSE
1920 ORCHARD LN
WHITE BEAR LAKE, MN 55110-5330
Phone number: 651-338-8702
Copy
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