Itasca Thompson
Itasca Thompson is a Case Manager/Care Coordinator in Ardmore, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2497 Highland RdArdmore, OK 73401
Phone: (972) 639-2483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1235882804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 2, 2022 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | January 24, 2022 |
| Mailing address | Po Box 116335, Carrollton, TX 75011-6335 |
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