Organization
SHARON THYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHARON E THYNE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(414) 719-8398
Entity
Organization
Contact information
Practice address
1845 N FARWELL AVE, SUITE 310, MILWAUKEE, WI 53202-9849
(414) 719-8398
Mailing address
1845 N FARWELL AVE, SUITE 310, MILWAUKEE, WI 53202-9849
(414) 719-8398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3113-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39228000
—
WI
Enumeration date
11/26/2014
Last updated
11/26/2014
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