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Individual

DR. DELIA J THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
102 S. THIRD ST, SUITE 500, CARSON CITY, MI 48811
(989) 584-6472
(989) 584-3116
Mailing address
406 E ELM ST, PO BOX 730, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6734

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010540
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4385156
MI
Enumeration date
03/20/2006
Last updated
07/09/2007
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