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Individual
KEISHA THORNTON
Active
Individual
KEISHA THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16905
FL
1041S0200X
School Social Worker
ISW8952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107639000
—
FL
Enumeration date
07/22/2015
Last updated
08/25/2020
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