Individual
SIERRA N WOROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
131992-121
WI
1041C0700X
Clinical Social Worker
Primary
11544
WI
1041C0700X
Clinical Social Worker
—
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Other
Enumeration date
06/18/2021
Last updated
07/09/2024
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