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Individual

EMILY THERESE THORNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1641 W CHICAGO AVE, CHICAGO, IL 60622-5127
(773) 577-9912
Mailing address
1641 W CHICAGO AVE, CHICAGO, IL 60622-5127
(773) 577-9912

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.018272
IL

Other

Enumeration date
06/06/2016
Last updated
06/06/2016
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