Individual
ADRIENNE LYNN THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7472 WATERSIDE LOOP ROAD, DENVER, NC 28037
(732) 890-9765
Mailing address
3181 DELEWARE DRIVE, DENVER, NC 28037
(732) 890-9765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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