Stacie Thacker-Mayhorn
Stacie Thacker-Mayhorn is an Early Intervention Provider Agency in South Charleston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1199 Creekstone RdgSouth Charleston, WV 25309-9476
Phone: (304) 687-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1982421723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2024 |
| Last updated in NPPES | September 23, 2024 |
| Certification date | September 23, 2024 |
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