Individual
SANDRA LEE SIEGFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
208 KING ST, CAMDEN, SC 29020-4720
(803) 432-6902
Mailing address
208 KING ST, CAMDEN, SC 29020-4720
(803) 432-6902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-2009
SC
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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