Individual
LANEY MARIE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2739 ALBRIGHT RD, KOKOMO, IN 46902-3996
(765) 455-8545
Mailing address
2815 S PARK RD, KOKOMO, IN 46902-3291
(765) 437-9314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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