Individual
ALEXANDRA THIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(614) 572-6551
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(614) 572-6551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW03793
RI
1041C0700X
Clinical Social Worker
Primary
ISW03793
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/23/2017
Last updated
03/11/2024
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