Individual
SCOTT THORBJORNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
1001 LAURENCE AVE STE E, JACKSON, MI 49202-2980
(517) 750-4777
Mailing address
2731 GRANADA DR APT 3B, JACKSON, MI 49202-5358
(269) 436-0241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007193
MI
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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