Gina Marie Theisz, LICSW
NPI #1407158496 in Buffalo, Minnesota
Provider Information
- NPI Number
- 1407158496
- Entity Type
- Individual
- Name
- Gina Marie Theisz, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Nov 23, 2010
- Last Updated
- Aug 30, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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