Individual
SARA ELIABETH THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 EAST AVE, SUITE 6, WINFIELD, MO 63389-3440
(314) 497-9657
Mailing address
PO BOX 150, 120 E AVE SUITE 6, WINFIELD, MO 63389-0150
(314) 497-9657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009032268
MO
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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