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1720257207
WALTER OTTO SIEGL
DETROIT, MI
NPI
1720257207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801089786)
Enumeration Date
2008-02-28
Last Update Date
2016-09-23
Business Address
-- WALTER OTTO SIEGL LMSW
3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201-2167
Phone number: 313-993-3964
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Mailing Address
-- WALTER OTTO SIEGL LMSW
1560 E MAPLE RD STE 400-CREDENTIALING
TROY, MI 48083-1138
Phone number: 313-577-8693
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