Individual
MR. MICHAEL DORIAN SIEBE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
525 RUE ST. FRANCOIS, SUITE 8, FLORISSANT, MO 63031
(314) 994-9344
Mailing address
8527 BIG BEND BLVD, WEBSTER GROVES, MO 63119
(314) 707-4354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009012411
MO
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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