Organization
MARY LYNN THIENEMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LYNN THIENEMAN LCSW, LMFT (OWNER)
(502) 644-5433
Entity
Organization
Contact information
Practice address
8521 LAGRANGE RD, LOUISVILLE, KY 40242-3800
(502) 644-5433
(502) 814-3745
Mailing address
POST OFFICE BOX 22816, LOUISVILLE, KY 40252-0816
(502) 644-5433
(502) 814-3745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0885
KY
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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