Provider Information for 1871095653
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LAURIE ANN SIEGEL LCSW
Sex: Female
NPI: 1871095653
Last Updated: 2018-03-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1871095653 | ||||||||
| Enumeration Date | 2018-03-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14A MILLER ST BEACON, NY 12508-3219 United States Phone: 914-960-7727 | Fax: | ||||||||
| Primary Practice Address | 75 RIVERDALE AVE YONKERS, NY 10701-3645 United States Phone: 914-376-8278 | Fax: | ||||||||
| Secondary Practice Address(es) | 10 KAYLEEN DR | ||||||||
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