Individual
EMILY THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
11741 W PRICE RD, WESTPHALIA, MI 48894-8203
(989) 292-0488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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