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1851719496
DEBRA ANNETTE THACKER
SEVIERVILLE, TN
NPI
1851719496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 2795)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- DEBRA ANNETTE THACKER SLP
1102 MEDICAL PARK COURT
SEVIERVILLE, TN 37862
Phone number: 865-242-8575
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Mailing Address
-- DEBRA ANNETTE THACKER SLP
1102 MEDICAL PARK COURT
SEVIERVILLE, TN 37862
Phone number:
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