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General NPI Number Information
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NPI Number | 1437333283
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Entity Type | Organization
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Legal Business Name | SIEFERT COUNSELING CENTER
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 918 N WALNUT ST
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City | DANVILLE
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State | IL
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Zip | 61832-3965
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Country | US
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Telephone | 217-443-1400
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Fax | 217-443-4727
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Provider Business Mailing Address
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Address Line | 918 N WALNUT ST
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City | DANVILLE
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State | IL
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Zip | 61832-3965
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Country | US
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Telephone | 217-443-1400
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Fax | 217-443-4727
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. DEBORAH SIEFERT
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Credential | LCSW
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Telephone | 217-443-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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