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Individual

CARLY W THORNHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 E 29TH ST, BRYAN, TX 77802-2622
(979) 436-0700
Mailing address
12 EXECUTIVE PARK DR NE # 387, ATLANTA, GA 30329-2206
(480) 284-3397

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/10/2021
Last updated
05/12/2025
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