Individual
MS. DIANE LINDA THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5492 S HARBOR AVE, FREELAND, WA 98249-3002
(808) 385-2712
Mailing address
PO BOX 102, CLINTON, WA 98236
(808) 385-2712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00009536
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW228
LICENSE IN SOCIAL WORK
HI
01
—
RC00055130
REGISTERED COUNSELOR
WA
Enumeration date
08/28/2006
Last updated
08/08/2024
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