Individual
MADISON THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(623) 259-9819
Mailing address
2529 N HAYDEN RD UNIT 1002, SCOTTSDALE, AZ 85257-2370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP14142
AZ
Other
Enumeration date
09/26/2022
Last updated
06/24/2024
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