Individual
ALICE SIEGRIEST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
79 WEAVER ST, VERMONT CHILDREN'S AID SOCIETY, WINOOSKI, VT 05404-2038
(802) 655-0006
(802) 655-0073
Mailing address
79 WEAVER ST, P.O. BOX 127, WINOOSKI, VT 05404-2038
(802) 655-0006
(802) 655-0073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000444
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049589
BLUE CROSS BLUE SHIELD
VT
05
—
1007463
—
VT
01
—
383033
MVP HEALTH CARE
VT
Enumeration date
02/23/2006
Last updated
07/08/2007
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