Individual
STARLA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6694
SD
Other
Enumeration date
05/29/2024
Last updated
10/30/2024
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