| Erica Lauren Siegal, A Licensed Clinical Social Worker Corportation | |
|
14605 Wild Oak Dr Canyon Country CA 91387-4724 | |
| (310) 486-0118 | |
| Not Available |
| Full Name | Erica Lauren Siegal, A Licensed Clinical Social Worker Corportation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14605 Wild Oak Dr, Canyon Country, California |
| Authorized Official Name and Position | Erica Lauren Siegal (OWNER) |
| Authorized Official Contact | 3104860118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Lauren Siegal, A Licensed Clinical Social Worker Corportation 16654 Soledad Canyon Rd # 548 Canyon Country CA 91387-3217 Ph: (310) 486-0118 | Erica Lauren Siegal, A Licensed Clinical Social Worker Corportation 14605 Wild Oak Dr Canyon Country CA 91387-4724 Ph: (310) 486-0118 |
| NPI Number | 1457025546 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457025546 | NPI | - | NPPES |
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