Individual
SEAN M. INDERBITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(715) 736-5437
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 634-2541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131408
WI
104100000X
Social Worker
131408-121
WI
1041C0700X
Clinical Social Worker
Primary
9894
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087784
—
WI
Enumeration date
05/01/2019
Last updated
04/04/2025
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