Thebo, Lynn Marie

Thebo, Lynn Marie is an sole proprietor health care provider with primary practice located at 3109 Southwest Blvd. Ste. B, San Angelo TX 76904. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thebo, Lynn Marie can be contacted via phone (325) 939-7641.

Contact Information

Primary practice address
3109 Southwest Blvd. Ste. B San Angelo TX 76904
Phone: (325) 939-7641
Fax: (325) 939-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 50867 Texas

Profile Details

NPI number 1487077459
LBN Legal business name Thebo, Lynn Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2014
Last updated Feb 23rd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487077459 NPPES
Texas Other 348231ZGGP MEDICARE PTAN

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