MS. Maribeth Theisen, MSW, LCSW

NPI #1053471409 in Kihei, Hawaii

Provider Information

NPI Number: 1053471409
Entity Type: Individual
Name: MS. Maribeth Theisen, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Dec 8, 2006
Last Updated: Sep 4, 2012

Practice Location

Address: 105 KAUHAA STREET
City: Kihei
State: Hawaii
ZIP Code: 96753
Phone: (808) 269-2923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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