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Organization
MICHELLE L SIEGMAN LCSW LLC
Active
Organization
MICHELLE L SIEGMAN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYNNE SIEGMAN LCSW (LICENSED CLINICAL THERAPIST)
(312) 259-5844
Entity
Organization
Contact information
Practice address
218 N JEFFERSON ST, STE 203, CHICAGO, IL 60661-1121
(312) 259-5844
Mailing address
330 N CLINTON ST, UNIT 508, CHICAGO, IL 60661-1126
(312) 259-5844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629208194
BCBS
IL
Enumeration date
06/17/2015
Last updated
06/17/2015
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