Thomas Branson Thacker, PRS

NPI #1518647429 in West Union, Ohio

Provider Information

NPI Number: 1518647429
Entity Type: Individual
Name: Thomas Branson Thacker, PRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PRS
Enumeration Date: Jul 25, 2023
Last Updated: Jul 25, 2023

Practice Location

Address: 247 CIC BLVD
City: West Union
State: Ohio
ZIP Code: 45693-7512
Phone: (513) 941-4999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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