Individual
EMILY ANN THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
35 POOH CT, BUMPASS, VA 23024-4955
(978) 430-8127
Mailing address
35 POOH CT, BUMPASS, VA 23024-4955
(978) 430-8127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113183
MA
Other
Enumeration date
09/12/2018
Last updated
05/21/2026
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