MS. Bonita Shuffain Siegel, LICSW

NPI #1629050745 in Lake Forest Park, Washington

Provider Information

NPI Number: 1629050745
Entity Type: Individual
Name: MS. Bonita Shuffain Siegel, LICSW
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Nov 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 15029 BOTHELL WAY NE
Address 2: SUITE 300
City: Lake Forest Park
State: Washington
ZIP Code: 98155-7663
Phone: (206) 364-0075

Specialties & Taxonomy Codes

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

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