Individual
ARIANA SUZANNE THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9008 HILLVIEW LN, JACKSON, MI 49201-8150
(262) 305-9532
Mailing address
9008 HILLVIEW LN, JACKSON, MI 49201-8150
(262) 305-9532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099074
MI
Other
Enumeration date
04/24/2018
Last updated
08/26/2024
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