Individual
JESSICA E THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6575 W 185TH TER, STILWELL, KS 66085-8917
(267) 679-9690
Mailing address
6575 W 185TH TER, STILWELL, KS 66085-8917
(267) 679-9690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5053
KS
Other
Enumeration date
01/14/2020
Last updated
06/17/2021
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