Individual
TINA CLAIRE SEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 250-1260
(919) 747-0551
Mailing address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 250-1260
(919) 747-0551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C002840
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2850614A
MEDICARE PTAN
NC
05
—
6003667
—
NC
Enumeration date
09/12/2006
Last updated
09/18/2012
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