Individual
COREY THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3340 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 207-7821
Mailing address
3340 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 207-7821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007477
VA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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