Individual
SARA DOROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 SIXTH STREET, GREEN BAY, WI 54304-5430
(920) 497-6161
(920) 497-6161
Mailing address
1499 SIXTH STREET, GREEN BAY, WI 54304
(920) 497-6161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WI
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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