MR. Jeremy Thayer, LICSW

NPI #1518094846 in North Kingstown, Rhode Island

Provider Information

NPI Number: 1518094846
Entity Type: Individual
Name: MR. Jeremy Thayer, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Feb 27, 2007
Last Updated: Jun 13, 2022

Practice Location

Address: 426 SCRABBLETOWN RD
City: North Kingstown
State: Rhode Island
ZIP Code: 02852-2001
Phone: (401) 829-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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