Individual
MRS. JEANINE L. SIEWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
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
Update your record
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