Individual
MARJOLEIN SIECZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 E ELM AVE STE 203, FLAGSTAFF, AZ 86001-3261
(480) 466-2428
Mailing address
125 E ELM AVE STE 203, FLAGSTAFF, AZ 86001-3261
(480) 466-2428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16963
AZ
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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