Individual
MISS JEANETTE MARIE THORNSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
4051 S SCENIC AVE, SPRINGFIELD, MO 65807-3972
(417) 523-3951
Mailing address
4051 S SCENIC AVE, SPRINGFIELD, MO 65807-3972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105855
MO
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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