Individual
ASHLEE THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
620 ERIE BLVD W, SYRACUSE, NY 13204-2445
(315) 418-6494
Mailing address
38 SHAG BARK LN, PENNELLVILLE, NY 13132-3137
(614) 832-9281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700089-SUPV
OH
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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