Individual
CASSIDY L THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
26871 HIGHWAY 18 E, RALEIGH, MS 39153-5129
(401) 263-8469
Mailing address
26871 HIGHWAY 18 E, RALEIGH, MS 39153-5129
(401) 263-8469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW02469
RI
1041C0700X
Clinical Social Worker
Primary
ISW03924
RI
Other
Enumeration date
12/28/2020
Last updated
10/16/2024
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