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1144420225
THADDYEUS WILLIAM THOMPSON
OKMULGEE, OK
NPI
1144420225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-07-18
Last Update Date
2007-07-18
Business Address
THADDYEUS WILLIAM THOMPSON
323 W 6TH ST
OKMULGEE, OK 74447-5019
Phone number: 918-756-9250
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Mailing Address
THADDYEUS WILLIAM THOMPSON
1910 E 9TH ST
OKMULGEE, OK 74447-5406
Phone number:
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