Jennifer Lynn Thayer, LLMSW
Social Worker, Clinical in Waterford, MI. Individual provider (NPI-1).
NPI number1760640635
StatusActive
Last updated in NPPESApr 26, 2013
Details
- NPI
- 1760640635
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Thayer
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2008
- Last updated
- Apr 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801089299 | MI | Yes |
Practice location
279 Summit DrWaterford, MI 48328-3364
Phone 248-409-4241
Mailing address
279 Summit DrWaterford, MI 48328-3364
Phone 248-409-4241
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