TIMMY THACKER

MARION, OH
NPI1760844351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  150614)
Enumeration Date2016-03-23
Last Update Date2016-03-23
Business Address
-- TIMMY THACKER CDCA
320 EXECUTIVE DR
MARION, OH 43302-6310
Phone number: 740-387-5210
Mailing Address
-- TIMMY THACKER CDCA
320 EXECUTIVE DR
MARION, OH 43302-6310
Phone number: 740-387-5210
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