Individual
SANDRA J REINARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 268-9780
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132757
WI
1041C0700X
Clinical Social Worker
Primary
12177-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204190
—
WI
Enumeration date
06/20/2022
Last updated
02/18/2025
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