ANDREW BLAKE THACKER

PIKEVILLE, KY
NPI1811866478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-11-03
Last Update Date2025-11-03
Business Address
ANDREW BLAKE THACKER
131 SUMMIT DR STE 402
PIKEVILLE, KY 41501-1580
Phone number: 606-218-6577
Mailing Address
ANDREW BLAKE THACKER
131 SUMMIT DR STE 402
PIKEVILLE, KY 41501-1580
Phone number: 606-218-6577
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