Individual
HEATHER S THIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
242 WEST SHAMROCK AVENUE, PINEVILLE, LA 71360
(318) 484-6850
(318) 484-6506
Mailing address
242 WEST SHAMROCK AVENUE, PINEVILLE, LA 71360
(318) 484-6850
(318) 484-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5359
LA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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