Individual
MELISSA LOUISE THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5739
Mailing address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18622
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
NA
—
Enumeration date
01/09/2020
Last updated
01/09/2020
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