Individual
GAILENE I THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
161 HIGH ST SE, SUITE 206B, SALEM, OR 97301-3660
(503) 580-6056
(503) 362-2541
Mailing address
161 HIGH ST SE, SUITE 206B, SALEM, OR 97301-3660
(503) 580-6056
(503) 362-2541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A1600
OR
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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