Most Relevant Information
Provider Data
| NPI Number: | 1003051509 |
| Provider Name: | HEATHER THANEPOHN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 5419-C |
Most Important Dates
| Enumeration Date: | 12/11/2008 |
| Last Updated: | 08/14/2015 |
Provider Practice Location
655 7TH ST BLDG 700700-A
78 MDG/SGOH
ROBINS AFB
GA
310982227
Practice Location Phone/Fax
| Phone: | 4783272399 |
| Fax: |
Provider Mailing Location
655 7TH ST BLDG 700700-A
78 MDG/SGOH
ROBINS AFB
GA
310982227
Provider Mailing Phone/Fax
| Phone: | 4783272399 |
| Fax: |