Individual
MICHELLE LYNN THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
82958 HIGHWAY 57, STANTON, NE 68779-7835
(402) 841-0841
Mailing address
82958 HIGHWAY 57, STANTON, NE 68779-7835
(402) 841-0841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3182
NE
1041C0700X
Clinical Social Worker
Primary
1224
NE
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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