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Individual

BRENDA HANSON THIELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
272 NW MEDICAL LOOP, ROSEBURG, OR 97471-5597
(541) 270-0434
Mailing address
272 NW MEDICAL LOOP, ROSEBURG, OR 97471-5597
(541) 270-0434

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6060
OR

Other

Enumeration date
11/05/2013
Last updated
04/06/2021
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