Individual
CRISTINA SIDERIS
Active
Individual
CRISTINA SIDERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RC00039778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC00039778
WASHINGTON STATE LICENSE
WA
Enumeration date
10/14/2009
Last updated
10/14/2009
Update your record
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