Individual
REBECCA ELIZABETH THIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSOTP
Contact information
Practice address
813 HUNTINGTON RD, LOUISVILLE, KY 40207-3671
(804) 767-7540
Mailing address
813 HUNTINGTON RD, LOUISVILLE, KY 40207-3671
(804) 767-7540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012596
VA
Other
Enumeration date
02/16/2021
Last updated
01/16/2025
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