Individual
BETH THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
102 W WASHINGTON ST STE 106, MARQUETTE, MI 49855-4350
(906) 228-8881
Mailing address
432 W RIDGE ST, MARQUETTE, MI 49855-4116
(906) 458-2141
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362009409
MI
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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