Individual
COLIN MICHAEL THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(347) 944-4860
Mailing address
3600 ROUTE 112, CORAM, NY 11727-4116
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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