Individual
KIRESTEN THEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
1690 ELM ST STE 300, DUBUQUE, IA 52001-3679
(563) 690-2850
(563) 582-5335
Mailing address
1690 ELM ST STE 300, DUBUQUE, IA 52001-3679
(563) 690-2850
(563) 582-5335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101727
IA
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720146319
—
IA
Enumeration date
04/12/2021
Last updated
08/10/2023
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