Individual
ROSS LAVERN THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
415 E KILBUCK, TECUMSEH, MI 49286
(517) 423-3887
Mailing address
PO BOX 548, ADRIAN, MI 49221
(517) 265-0229
(517) 265-0829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301011323
MI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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