Individual
MIRANDA ELLEN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 SUGAR MILL RD STE 100, ATLANTA, GA 30350-2865
(801) 963-4360
Mailing address
500 SUGAR MILL RD STE 100, ATLANTA, GA 30350-2865
(770) 771-6900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011025
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/26/2018
Last updated
08/29/2023
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