Kim Thiessen LCSW

NPI 1780911404 - Social Worker - 1041C0700X

NPI Details
NPI 1780911404
Gender Female
Enumeration Date 11/17/2009
Last Updated 11/19/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
179 PALISADE AVE
JERSEY CITY NJ, 07306-1103, US
Phone (201) 795-8375
Fax
Business Location
179 PALISADE AVE
JERSEY CITY NJ, 07306-1103, US
Phone (201) 795-8683
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 081313-1
Remove 1780911404 NPI Number
 

According to our database, Kim Thiessen LCSW NPI is 1780911404, taxonomy code is 1041C0700X and license number is 081313-1, license state is located at New York. Kim Thiessen LCSW physically located at 179 Palisade Ave, Jersey City NJ, 07306-1103. NPI Number Kim Thiessen LCSW has the Individual type.

Sponsored links

1780911404 NPI number is provided on an as is basis without warranty of any kind. 1780911404 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Thiessen LCSW are for informational purposes only.