Individual
STACIE SIWIK
Active
Individual
STACIE SIWIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114362
MA
1041C0700X
Clinical Social Worker
Primary
2091
NH
1041C0700X
Clinical Social Worker
—
NH
1041S0200X
School Social Worker
433810
MA
Other
Enumeration date
04/09/2007
Last updated
02/06/2018
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