Individual
KIRSTEN AMILOU THORNANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
518 HOLLOW CT, WOODSTOCK, GA 30189-2474
(770) 596-3376
Mailing address
518 HOLLOW CT, WOODSTOCK, GA 30189-2474
(770) 596-3376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007636
GA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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