| Pamela D Siemon Lcsw Llc | |
|
51 Depot St Ste 207 Watertown CT 06795-2667 | |
| (860) 806-2653 | |
| Not Available |
| Full Name | Pamela D Siemon Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 51 Depot St Ste 207, Watertown, Connecticut |
| Authorized Official Name and Position | Pamela D Siemon (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2032328009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela D Siemon Lcsw Llc 200 Quassuk Rd Woodbury CT 06798-2013 Ph: (203) 232-8009 | Pamela D Siemon Lcsw Llc 51 Depot St Ste 207 Watertown CT 06795-2667 Ph: (860) 806-2653 |
| NPI Number | 1558859637 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558859637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009745 (Connecticut) | Primary |
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