Individual
BRANDI THATCHER-POTTEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W MAIN ST, MOUNT ORAB, OH 45154-8262
(937) 444-2044
Mailing address
524 W MAIN ST, MOUNT ORAB, OH 45154-8262
(937) 444-2044
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1475258
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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