# LAURA AMANDA THORNTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477892776
- **Gender:** F
- **Credential:** C.T.R.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | MI | Yes |
| 225800000X | Recreation Therapist | 62059 | MI | — |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 10/05/2020
