Shawn Lamont Thacker
Shawn Lamont Thacker is a Social Worker in Port Huron, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
520 Superior StPort Huron, MI 48060-3838
Phone: (810) 455-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1144824541 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 25, 2020 |
| Last updated in NPPES | November 25, 2020 |
| Certification date | November 24, 2020 |
| Mailing address | 520 Superior St, Port Huron, MI 48060-3838 |
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