Keisha Thornton

NPI #1972988764 in Crestview, Florida

Provider Information

NPI Number: 1972988764
Entity Type: Individual
Name: Keisha Thornton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 22, 2015
Last Updated: Aug 25, 2020

Practice Location

Address: 501 4TH AVE
City: Crestview
State: Florida
ZIP Code: 32536-2539
Phone: (850) 689-7252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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