Provider Information for 1356489777
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Mrs. LINDA MARIE THOMPSON MFT
Sex: Female
NPI: 1356489777
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1356489777 | ||||||||
| Enumeration Date | 2007-02-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 6293 SAN MATEO, CA 94403-0993 United States Phone: 650-670-5108 | Fax:650-458-8568 | ||||||||
| Primary Practice Address | 122 2ND AVE SAN MATEO, CA 94401-3856 United States Phone: 650-670-5108 | Fax:650-458-8568 | ||||||||
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