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Individual
MS. LISA DAWN SEIDEL
Active
Individual
MS. LISA DAWN SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
066840-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03158821
—
NY
01
—
066840-1
LICEND. MASTER SOCIAL WKR
NY
Enumeration date
09/13/2005
Last updated
11/05/2021
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