JONATHAN THACKER
Social Worker - Clinical
Active
Individual
NPI: 1629841952
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LMSW-44232 (ID) |
Frequently Asked Questions
NPI 1629841952 is the National Provider Identifier for JONATHAN THACKER, a Social Worker - Clinical provider located in Preston, ID. This NPI was enumerated on October 30, 2023.
JONATHAN THACKER practices at 75 S 1ST W, Preston, ID 83263.
Quick Facts
- NPI
- 1629841952
- Type
- Individual
- Enumerated
- Oct 30, 2023
- Last Updated
- Oct 30, 2023
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