Individual
AVA ROSE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
5634 SW ADMIRAL WAY UPPR UPPR, SEATTLE, WA 98116-3161
(510) 520-4403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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