Individual
DOMINIQUE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 KEYSTONE AVE STE 205, RENO, NV 89503-5571
(775) 997-9960
Mailing address
2070 JORDAN MEADOWS DR, SPARKS, NV 89441-9329
(775) 997-9960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7507-S
NV
1041C0700X
Clinical Social Worker
Primary
8807-C
NV
Other
Enumeration date
04/13/2016
Last updated
11/29/2022
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