Individual
ERICA THIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 7TH AVE STE M1, NEW YORK, NY 10018-4878
(715) 379-0365
Mailing address
604 KATIE LN, EAU CLAIRE, WI 54703-6300
(715) 379-0365
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3001003532
WI
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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