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Individual

MR. WALTER ANTHONY SIEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSCSW, LCAC

Contact information

Practice address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8353
(785) 966-8386
Mailing address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8353
(785) 966-8386

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4656
KS

Other

Enumeration date
08/21/2014
Last updated
04/16/2018
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