Individual
SARAH JEAN MOTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9960
WI
390200000X
Student in an Organized Health Care Education/Training Program
17279-130
WI
Other
Enumeration date
12/22/2015
Last updated
06/12/2023
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