Individual
MR. MARK JOSEPH THALHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 984-3380
(302) 984-3324
Mailing address
500 W 10TH ST, WILMINGTON, DE 19801-1422
(302) 984-3380
(302) 984-3324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
Q1-0000617
DE
1041C0700X
Clinical Social Worker
Q1-0000617
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689733792
—
DE
Enumeration date
01/15/2007
Last updated
01/19/2012
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