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1558869081
KRISTIN E THIES
CHAMPAIGN, IL
NPI
1558869081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071009719)
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
KRISTIN E THIES PsyD
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-365-2855
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Mailing Address
KRISTIN E THIES PsyD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6941
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