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MRS. STACY ANN THACKER-NEWSOME MA, LBD

>> Specialist >> Other Service Providers

Registrant NPI Number: 1043686595

Individual Registrant:
MRS. STACY ANN THACKER-NEWSOME MA, LBD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15903 STATE ROAD 60  BORDEN, IN 47106-8629 US
Tel: 606-831-1020  Fax: --

Contact information for business:
15903 STATE ROAD 60  BORDEN, IN 47106-8629 US
Tel: 606-831-1020  Fax: --

Registration Information:
NPI: 1043686595
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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