Individual
KIM THIEN THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44150 W MARICOPA CASA GRANDE HWY, MARICOPA, AZ 85138-5900
(520) 568-5100
Mailing address
44791 W JUNIPER AVE, MARICOPA, AZ 85139-4190
(714) 395-3904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP16170
AZ
Other
Enumeration date
07/18/2022
Last updated
06/19/2025
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