CHARLTON THIEDE

SEARCY, AR
NPI1013296300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A1504056)
Enumeration Date2011-08-04
Last Update Date2016-03-11
Business Address
-- CHARLTON THIEDE LAC
403 S POPLAR ST SUITE A
SEARCY, AR 72143-6017
Phone number: 501-279-9220
Mailing Address
-- CHARLTON THIEDE LAC
403 S POPLAR ST SUITE A
SEARCY, AR 72143-6017
Phone number: 501-279-9220
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