Individual
MS. JAN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2420 S 190 E, PRICE, UT 84501-4581
(435) 749-2584
Mailing address
2420 S 190 E, PRICE, UT 84501-4581
(435) 749-2584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
304536-3501
UT
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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