Individual
JOHN DAVID THIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3247 S MARYLAND PKWY, LAS VEGAS, NV 89109-2412
(877) 663-7976
Mailing address
1312 S 6TH ST, LAS VEGAS, NV 89104-1623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11896-C
NV
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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