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NPI Code Detail

MEDICARE: DEANNA SIECINSKI

MEDICARE: DEANNA SIECINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1144345885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA SIECINSKI
Provider Business Mailing Address
First Line : 5965 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1720
Country : US
Telephone Number : 801-263-7138
Fax Number :
Provider Business Practice Location Address
First Line : 5965 S 900 E
Second Line :
City : MURRAY
State : UT
Zip : 84121-1720
Country : US
Telephone Number : 801-263-7138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 02/05/2014

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Directions to “ DEANNA SIECINSKI ” Practice Location

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