Individual
MYA THORNBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPH
Contact information
Practice address
1424 CRETE ST, NEW ORLEANS, LA 70119-3005
(504) 568-0811
Mailing address
1424 CRETE ST, NEW ORLEANS, LA 70119-3005
(504) 568-0811
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
8252
LA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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