Provider Demographics
NPI:1952568958
Name:THYREN, MARCI DAWN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:DAWN
Last Name:THYREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:DAWN
Other - Last Name:THYREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:18208 72ND AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-1849
Mailing Address - Country:US
Mailing Address - Phone:360-865-0239
Mailing Address - Fax:
Practice Address - Street 1:9040-A FITZSIMMONS DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical