Ashley Thacker

NPI #1841783974 in Kennett, Missouri

Provider Information

NPI Number: 1841783974
Entity Type: Individual
Name: Ashley Thacker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 13, 2018
Last Updated: Feb 27, 2025

Practice Location

Address: 925 STATE ROUTE VV
City: Kennett
State: Missouri
ZIP Code: 63857-3822
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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