Individual
CHERLYN THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 FLEMING ST, LAURENS, SC 29360-2407
(864) 923-3398
Mailing address
413 FLEMING ST, LAURENS, SC 29360-2407
(864) 923-3398
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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