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Individual

CHERIE LYNN THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LCDC III

Contact information

Practice address
775 E ELIZA ST, KENTON, OH 43326-1486
(419) 675-2243
(419) 674-4661
Mailing address
5982 RHODES RD, KENT, OH 44240-8100

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161531
OH
104100000X
Social Worker
Primary
1200674
OH

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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