Thompson, Samira Grace

Thompson, Samira Grace is an sole proprietor health care provider with primary practice located at 2009 Fullers Cross Rd , Ocoee FL 34761-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thompson, Samira Grace can be contacted via phone (321) 368-0796.

Contact Information

Primary practice address
2009 Fullers Cross Rd Ocoee FL 34761-3706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH7314 Florida

Profile Details

NPI number 1558689851
LBN Legal business name Thompson, Samira Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2010
Last updated May 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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