DENNIS HARLEY THACKER

MOUNTAIN HOME, TN
NPI1922021880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C004994)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Mr. DENNIS HARLEY THACKER LCSW
CORNER OF SIDNEY AND LAMONT ST JAMES H. QUILLEN VAMC
MOUNTAIN HOME, TN 37684
Phone number: 423-979-2872
Mailing Address
Mr. DENNIS HARLEY THACKER LCSW
209 GINGER CT
JOHNSON CITY, TN 37601-6005
Phone number: 423-979-2872
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