Marissa Nicole Thompson
Marissa Nicole Thompson is a Developmental Therapist in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
2651 Twin Oaks Ct Apt 65Decatur, IL 62526-5836
Phone: (309) 824-6939
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (IL) |
|---|
Record details
| NPI number | 1558042192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2023 |
| Last updated in NPPES | March 12, 2024 |
| Certification date | March 12, 2024 |
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