Individual
MR. ROBERT THOMPSON THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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