Provider Information for 1063955748
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SHARON THOMSEN LMFT
Sex: Female
NPI: 1063955748
Last Updated: 2024-08-01
Certification Date: 2024-08-01
Certification Date: 2024-08-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063955748 | ||||||||||||
| Enumeration Date | 2016-11-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2955 BOWLING ST SW APT 135 CEDAR RAPIDS, IA 52404-4258 United States Phone: 602-677-7858 | Fax: | ||||||||||||
| Primary Practice Address | 2955 BOWLING ST SW APT 135 CEDAR RAPIDS, IA 52404-4258 United States Phone: 602-677-7858 | Fax: | ||||||||||||
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