STEPHANIE R THACKER

MISHAWAKA, IN
NPI1881414308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39005154A)
Enumeration Date2024-10-10
Last Update Date2024-10-10
Business Address
STEPHANIE R THACKER MA, LMHC
515 LINCOLNWAY W
MISHAWAKA, IN 46544-1808
Phone number: 269-985-8217
Mailing Address
STEPHANIE R THACKER MA, LMHC
1825 DEKEVER DR
MISHAWAKA, IN 46544-9191
Phone number: 269-985-8217
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