Individual
MR. MARK SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1458 E 820 N, OREM, UT 84097
(801) 860-4780
(385) 375-6087
Mailing address
1458 E 820 N, OREM, UT 84097
(801) 860-4780
(385) 375-6087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5958473-3501
UT
Other
Enumeration date
03/26/2014
Last updated
02/21/2023
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