STACIE THACKER-MAYHORN

SOUTH CHARLESTON, WV
NPI1982421723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
STACIE THACKER-MAYHORN
1199 CREEKSTONE RDG
SOUTH CHARLESTON, WV 25309-9476
Phone number: 304-687-5119
Mailing Address
STACIE THACKER-MAYHORN
1199 CREEKSTONE RDG
SOUTH CHARLESTON, WV 25309-9476
Phone number: 304-687-5119
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