Organization
KELLI SIECZKOWSKI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI LYNN SIECZKOWSKI LCSW (OWNER)
(480) 630-0613
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD STE D202, MESA, AZ 85210-3045
(480) 630-0316
Mailing address
2469 W ZEPHER AVE, FLAGSTAFF, AZ 86001-2543
(928) 225-9585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW10655
AZ
Other
Enumeration date
02/14/2017
Last updated
07/08/2019
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