Individual
MR. ERIC RANDI SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
211 9TH AVE N, SAINT PETERSBURG, FL 33701-1705
(321) 662-6055
Mailing address
211 9TH AVE N, SAINT PETERSBURG, FL 33701-1705
(321) 662-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW4931
STATE LICENSE
FL
Enumeration date
03/07/2021
Last updated
03/07/2021
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