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1639209943
WILLIAM EDWIN THACKER
REDDING, CA
NPI
1639209943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC21922)
Enumeration Date
2007-03-06
Last Update Date
2015-08-06
Business Address
Mr. WILLIAM EDWIN THACKER MFT
353 PARK MARINA CIRCLE
REDDING, CA 96001
Phone number: 530-245-9221
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Mailing Address
Mr. WILLIAM EDWIN THACKER MFT
353 PARK MARINA CIRCLE
REDDING, CA 96001
Phone number: 530-245-9221
Copy
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