Individual
ALICIA THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 CHURCH ST STE 105, YALESVILLE, CT 06492-2253
(203) 679-0849
Mailing address
300 CHURCH ST STE 105, YALESVILLE, CT 06492-2253
(203) 679-0849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13302
CT
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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