Individual
LIBERTY SIEBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 356-9818
Mailing address
38027 VALLEY RD, OCONOMOWOC, WI 53066-4226
(262) 490-7917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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