Jean Thiede

NPI #1144772575 in Jefferson, Wisconsin

Provider Information

NPI Number: 1144772575
Entity Type: Individual
Name: Jean Thiede
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 2, 2016
Last Updated: Nov 2, 2016

Practice Location

Address: 1541 ANNEX RD
City: Jefferson
State: Wisconsin
ZIP Code: 53549-9803
Phone: (920) 674-8164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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