Organization
EMILY SIEGEL, LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLIAN C SIEGEL LCSW (OWNER)
(307) 399-4508
Entity
Organization
Contact information
Practice address
507 S 4TH ST, LARAMIE, WY 82070-3753
(307) 399-4508
Mailing address
507 S 4TH ST, LARAMIE, WY 82070-3753
(307) 399-4508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
WY 717
WY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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