Individual
JENNA NICOLE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 590-8184
Mailing address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 590-8184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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