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Individual
LESLIE SIEBERT
Active
Individual
LESLIE SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW004564E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104107910
—
PA
01
—
12698709
CAQH ID
PA
Enumeration date
05/12/2014
Last updated
03/14/2023
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