Individual
AMY L THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
(207) 783-4660
Mailing address
56 GARDEN CIR, AUBURN, ME 04210-8322
(207) 577-0962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11608
ME
1041C0700X
Clinical Social Worker
MC10523
ME
Other
Enumeration date
12/01/2006
Last updated
01/03/2017
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