Kimberly Renee Thelen
NPI #1003316241 in Norton Shores, Michigan
Provider Information
- NPI Number
- 1003316241
- Entity Type
- Individual
- Name
- Kimberly Renee Thelen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 14, 2018
- Last Updated
- Feb 14, 2018
Practice Location
- Address
- 640 SEMINOLE RD
- City
- Norton Shores
- State
- Michigan
- ZIP Code
- 49441-4720
- Phone
- (231) 728-3501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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