# EMILY SIEGEL, LCSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609277227
- **Authorized official:** GILLIAN C SIEGEL LCSW (OWNER)
- **Authorized official phone:** (307) 399-4508

## Contact information

- **Practice address:** 507 S 4TH ST, LARAMIE, WY 82070-3753
- **Practice address phone:** (307) 399-4508
- **Mailing address:** 507 S 4TH ST, LARAMIE, WY 82070-3753
- **Mailing address phone:** (307) 399-4508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | WY 717 | WY | Yes |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014