SHAWN LAMONT THACKER

PORT HURON, MI
NPI1144824541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2020-11-25
Last Update Date2020-11-25
Business Address
SHAWN LAMONT THACKER
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-455-0102
Mailing Address
SHAWN LAMONT THACKER
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-455-0102
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