STEPHANIE KAYLYNN THACKER Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149027705

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

KAYLYNN

Last Name

THACKER

Business Name

STEPHANIE KAYLYNN THACKER

Original Issue Date

09/06/2024

Effective Date

09/25/2025

Expiration Date

11/30/2027

City

WAIANAE

State

Zip

96792

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/25/2025