Individual
ANGELA MARIE THIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 SHERWOOD DR, LAWRENCE, KS 66049-2124
(785) 841-3464
Mailing address
3200 SHERWOOD DR, LAWRENCE, KS 66049-2124
(785) 841-3464
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
681
KS
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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