Jennifer Thieke

NPI #1003589573 in Northport, New York

Provider Information

NPI Number
1003589573
Entity Type
Individual
Name
Jennifer Thieke
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Enumeration Date
Jul 29, 2021
Last Updated
Jul 29, 2021

Practice Location

Address
6 COACH HILL LN
ZIP Code
11768-3308
Phone
(631) 402-4124

Specialties & Taxonomy Codes

Specialty
Social Worker

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