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Organization
THEIS AND ASSOCIATES, LLC
Active
Organization
THEIS AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD THEIS LCSW (PRESIDENT)
(414) 418-1409
Entity
Organization
Contact information
Practice address
4818 S 76TH ST, GREENFIELD, WI 53220-4362
(414) 418-4109
(414) 421-7871
Mailing address
4343 SKYLARK CT, GREENDALE, WI 53129-2902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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