Individual
SARAH THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7951
Mailing address
2455 N 69TH ST, WAUWATOSA, WI 53213
(414) 399-4752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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