Individual
ANGELICA MARIA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 W OXFORD ST, PHILADELPHIA, PA 19121-2843
(267) 532-4494
Mailing address
23 RED MAPLE RD, SMYRNA, DE 19977-5224
(302) 252-5716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW138607
PA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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