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Individual
MRS. SHANNON JEX SIECK
Active
Individual
MRS. SHANNON JEX SIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1229
NE
101YM0800X
Mental Health Counselor
4223
NE
1041C0700X
Clinical Social Worker
Primary
1494
NE
Other
Enumeration date
07/11/2011
Last updated
07/21/2026
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