Individual
MANDI M THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3401 NE 16TH ST, OKLAHOMA CITY, OK 73117-6818
(405) 427-1529
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 427-7025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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