Thacker, De'Lisa Monique
Thacker, De'Lisa Monique is an sole proprietor health care provider with primary practice located at 2823 Nw Mobley Ave , Lawton OK 73507-1135. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Thacker, De'Lisa Monique can be contacted via phone (903) 721-4658.Contact Information
Primary practice address
2823 Nw Mobley Ave
Lawton OK 73507-1135
Phone: (903) 721-4658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1841565827 |
|---|---|
| LBN Legal business name | Thacker, De'Lisa Monique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2012 |
| Last updated | Mar 9th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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