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Individual
TIFFANY THORNTON
Active
Individual
TIFFANY THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016031884
MO
Other
Enumeration date
02/22/2017
Last updated
11/28/2018
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