Individual
LEA MARIE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
101 PINE ST W, STILLWATER, MN 55082-4994
(651) 439-8800
Mailing address
101 PINE ST W, STILLWATER, MN 55082-4994
(651) 439-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17193
MN
Other
Enumeration date
04/28/2010
Last updated
07/21/2022
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