Ajah Ashanti Thacker
NPI #1205489960 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1205489960
- Entity Type
- Individual
- Name
- Ajah Ashanti Thacker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 22, 2019
- Last Updated
- Jul 22, 2019
Practice Location
- Address
- 309 SE MAIN ST STE 207
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681-2696
- Phone
- (864) 349-6390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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