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Individual

MISS KIMBERLEY MICHELLE THORNBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC-A

Contact information

Practice address
1 CHICK SPRINGS RD, GREENVILLE, SC 29609-4946
(910) 434-4970
(866) 813-6192
Mailing address
16515 WOOLWINE RD, CHARLOTTE, NC 28278-8843
(828) 855-8170
(803) 459-1550

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7497
SC

Other

Enumeration date
08/10/2022
Last updated
08/10/2022
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