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Individual

MRS. JESSICA SUZANNE THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
324 E ANTIETAM ST STE 307A, HAGERSTOWN, MD 21740-5768
(667) 600-2140
Mailing address
324 E ANTIETAM ST STE 307A, HAGERSTOWN, MD 21740-5768
(667) 600-2140

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21188
MD

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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