Antoinette M Thacker, LISW-S
Social Worker in Hamilton, OH. Individual provider (NPI-1).
NPI number1750722286
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1750722286
- Entity type
- Individual (NPI-1)
- Name
- Antoinette M Thacker
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2013
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | I.1000009-SUPV | OH | Yes |
| 1041C0700X | Social Worker, Clinical | I.1000009-SUPV | OH |
Practice location
1910 Fairgrove Ave Ste EHamilton, OH 45011-1930
Phone 513-795-7557 · Fax 513-737-4603
Mailing address
8778 Cottonwood DrCincinnati, OH 45231-4706
Phone 513-305-2218 · Fax 513-737-4603
Other practice locations
8778 Cottonwood Dr
Cincinnati, OH 45231-4706
Cincinnati, OH 45231-4706
Phone 513-305-2218 · Fax 513-737-4603
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