Individual
SANDRA S SIEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2435 KIMBERLY RD, SUITE 155, BETTENDORF, IA 52722-3509
(563) 359-7625
(563) 459-0494
Mailing address
714 27TH ST, BETTENDORF, IA 52722-5107
(563) 344-7935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05802
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43006
BLUE CROSS BLUE SHIELD
IA
Enumeration date
09/01/2006
Last updated
07/08/2007
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