Individual
MRS. MARY S SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,NCC
Contact information
Practice address
2100 LEE RD, WINTER PARK, FL 32789-1862
(407) 644-7593
Mailing address
174 SAVANNAH PARK LOOP, CASSELBERRY, FL 32707-2806
(407) 260-9359
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
22015
NC
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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