Individual
EMILY SIEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Mailing address
1515 WRIGHTSBORO RD, THOMSON, GA 30824-7100
(406) 750-0693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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