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Individual

MICHELLE C THISTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
3307 ANDREA CT, JEFFERSONVILLE, IN 47130-9685
(812) 590-1706
(812) 590-1706
Mailing address
3307 ANDREA CT, JEFFERSONVILLE, IN 47130-9685
(812) 590-1706
(812) 590-1706

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003758A
IN

Other

Enumeration date
08/06/2009
Last updated
08/06/2009
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