Kenneth Dale Siewert, LCSW

NPI #1083416242 in Salem, Oregon

Provider Information

NPI Number: 1083416242
Entity Type: Individual
Name: Kenneth Dale Siewert, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 2600 CENTER ST NE
City: Salem
State: Oregon
ZIP Code: 97301-2682
Phone: (971) 303-4019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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