Whalio Doctors

NPI 1134336829

Angela Siceluff, LCSW

Practitioner Clinical Social Worker Brighton, MO

Practice location

Address
5549 N Highway 13, Brighton, MO 65617-8112
Phone
(417) 376-2238
Fax
(417) 376-2014
Mailing address
PO Box 617, Brighton, MO 65617-0617

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 002401 (MO)

Registry record

NPI
1134336829
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.