Individual
BRITTNEY MICHELLE THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
360 MERRIMACK ST STE 9, LAWRENCE, MA 01843-1764
(978) 927-9410
Mailing address
360 MERRIMACK ST STE 9, LAWRENCE, MA 01843-1764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120416
MA
1041C0700X
Clinical Social Worker
2014002646
MO
Other
Enumeration date
04/14/2016
Last updated
06/01/2017
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