Provider Information for 1356696389
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JOYANN THORNHILL LCSW
Sex: Female
NPI: 1356696389
Last Updated: 2012-07-16
Certification Date:
Certification Date:
Details
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NPI | 1356696389 | ||||||||
Enumeration Date | 2012-07-16 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 299 BROADWAY COSTA MESA, CA 92627-2817 United States Phone: 703-623-9460 | Fax: | ||||||||
Primary Practice Address | 299 BROADWAY AVENUE COSTA MESA, CA 92627 United States Phone: 703-623-9460 | Fax: | ||||||||
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