Individual
ADDISON R THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4284 DAHLBERG DR, GOLDEN VALLEY, MN 55422-4805
(952) 873-5383
(952) 562-2827
Mailing address
1113 50TH AVE N, MINNEAPOLIS, MN 55430-2687
(952) 250-1754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29379
MN
Other
Enumeration date
06/14/2024
Last updated
08/28/2025
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