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Individual

MRS. RONADEE MARIE THORNOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2300 N YELLOWSTONE HWY STE 207, IDAHO FALLS, ID 83401-1652
(801) 719-7737
Mailing address
2218 DICKSON CIR E, IDAHO FALLS, ID 83402-3865
(120) 824-3665

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-40738
ID

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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