| Lynn M. Thebo, Lcsw, Pllc | |
|
3109 Southwest Blvd. Ste. B San Angelo TX 76904 | |
| (325) 939-7641 | |
| Not Available |
| Full Name | Lynn M. Thebo, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3109 Southwest Blvd. Ste. B, San Angelo, Texas |
| Authorized Official Name and Position | Lynn Marie Thebo (OWNER/LCSW) |
| Authorized Official Contact | 3259397641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn M. Thebo, Lcsw, Pllc 3109 Southwest Blvd. Ste. B San Angelo TX 76904 Ph: (325) 939-7641 | Lynn M. Thebo, Lcsw, Pllc 3109 Southwest Blvd. Ste. B San Angelo TX 76904 Ph: (325) 939-7641 |
| NPI Number | 1265855712 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265855712 | NPI | - | NPPES |
| 348226 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 50867 (Texas) | Primary |
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