Individual
ABIGAIL IZETTA SIEGRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
73 MARKET ST, ONANCOCK, VA 23417-4223
(757) 276-8662
Mailing address
73 MARKET ST, ONANCOCK, VA 23417-4223
(757) 276-8662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010265
VA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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