Individual
MRS. JEANINE L. SIEWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2740 E. PYTHIAN, REGIONAL GIRLS' SHELTER, SPRINGFIELD, MO 65802
(417) 862-9634
Mailing address
1353 NORTH WARSON RD, PRESBYTERIAN CHILDREN'S SERVICES, INC., ST. LOUIS, MO 63132
(314) 989-9727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1999135416
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495363210
—
MO
Enumeration date
07/22/2009
Last updated
07/22/2009
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