Provider Information for 1558924431
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DEANA KAY THATCHER LISW-S
Sex: Female
NPI: 1558924431
Last Updated: 2019-04-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1558924431 | ||||||||
| Enumeration Date | 2019-04-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5705 JOUSTING LN COLUMBUS, OH 43231-2979 United States Phone: 614-365-1918 | Fax: | ||||||||
| Primary Practice Address | 199 S CENTRAL AVE COLUMBUS, OH 43223-1301 United States Phone: 614-274-9500 | Fax: | ||||||||
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