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Organization

PAMELA D SIEMON LCSW LLC

Active
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Organization

PAMELA D SIEMON LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA D SIEMON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 232-8009
Entity
Organization

Contact information

Practice address
51 DEPOT ST STE 207, WATERTOWN, CT 06795-2667
(860) 806-2653
Mailing address
200 QUASSUK RD, WOODBURY, CT 06798-2013
(203) 232-8009

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009745
CT

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
About Stedi
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  • EDI platform