Individual
JUDI SIEGFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1580 S TELSHOR BLVD, LAS CRUCES, NM 88011-1011
(575) 524-6713
(575) 532-5920
Mailing address
523 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2539
(575) 524-6713
(575) 532-5920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-06661
MEDICAL LICENS
NM
Enumeration date
01/10/2011
Last updated
01/10/2011
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