Individual
MICHELLE BETH THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-3338
Mailing address
1219 FRAME ST, CHARLESTON, WV 25302-1307
(304) 989-5780
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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