Individual
MRS. WANDA I THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1125 HEATHERSTONE DR, 101, FREDERICKSBURG, VA 22407-4828
(540) 548-4114
(540) 548-2541
Mailing address
1125 HEATHERSTONE DRIVE, 101, FREDERICKSBURG, VA 22407-4828
(540) 548-4114
(540) 548-2541
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001031
VA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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