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Individual

MARY THORNBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 283-2529
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
MS
101YS0200X
School Counselor
104100000X
Social Worker
MS
1041S0200X
School Social Worker
MS
106E00000X
Assistant Behavior Analyst
106H00000X
Marriage & Family Therapist
MS
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174H00000X
Health Educator

Other

Enumeration date
04/10/2025
Last updated
04/10/2025
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