Search › Wisconsin › 104100000X
Mackenzie Thiele, LGSW
NPI 1568330439 · on the registry since 2025 · sole proprietor
Practice
- Address
- 936 Roscoe St
Green Bay, WI 54304 - Phone
- (775) 530-4580
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin