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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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