Individual
MS. CONSTANCE DENISE SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8101 BOAT CLUB RD, 240 #335, FORT WORTH, TX 76179-3631
(817) 694-2449
Mailing address
8101 BOAT CLUB RD, 240 #335, FORT WORTH, TX 76179-3631
(817) 694-2449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63561
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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