Individual
MS. ELLEN S THACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10475 PERRY HWY, TOWN CENTRE, STE 300, WEXFORD, PA 15090-9274
(724) 759-7500
(724) 759-7600
Mailing address
10475 PERRY HWY, TOWN CENTRE, STE 300, WEXFORD, PA 15090-9274
(724) 759-7500
(724) 759-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW013668
PA
Other
Enumeration date
08/09/2006
Last updated
03/06/2013
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