Individual
JILL THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 802-7411
Mailing address
15708 53RD STREET CT E, SUMNER, WA 98390-2700
(253) 826-3878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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