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Organization
TABITHA SIELOFF LCSW PLLC
Active
Organization
TABITHA SIELOFF LCSW PLLC
Active
Other names
Mosaic Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA SIELOFF (OWNER)
(845) 768-2295
Entity
Organization
Contact information
Practice address
144 PINE ST STE 140, KINGSTON, NY 12401
(845) 768-2295
(845) 523-1251
Mailing address
144 PINE ST STE 140, KINGSTON, NY 12401-4946
(845) 768-2295
(845) 523-1251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386911840
—
NY
Enumeration date
02/16/2018
Last updated
08/09/2018
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