Individual
SIERRA REXRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
426 LEON SULLIVAN WAY, CHARLESTON, WV 25301-1713
(304) 614-3555
Mailing address
120 SWEET GUM LN APT 3, CHARLESTON, WV 25306-1103
(304) 614-3555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00946607
WV
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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