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Individual

JUDETH L THORNDIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISAC, BSBA

Contact information

Practice address
335 S OCOTILLO AVE, BENSON, AZ 85602
(520) 586-4040
(520) 586-4423
Mailing address
155 CALLE PORTAL, SIERRA VISTA, AZ 85635-2900
(520) 459-3012
(520) 515-8663

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC1602
AZ

Other

Enumeration date
09/28/2006
Last updated
02/25/2019
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