Individual
HESTER SIQUILLA LIEBETRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP, LMHC
Contact information
Practice address
850 N HARRISON ST, WARSAW, IN 46580-3163
(574) 267-7169
(574) 269-5573
Mailing address
850 N HARRISON ST, ATTN: ANNE LAWSON, WARSAW, IN 46580-3163
(574) 267-7878
(574) 269-5573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042665A
IN
Other
Enumeration date
09/22/2010
Last updated
01/03/2018
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