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Individual

SANDRA ELISE WILLOUGHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W., L.C.S.W.

Contact information

Practice address
130 S BARSTOW ST, EAU CLAIRE, WI 54701-3691
(715) 833-7600
(715) 833-7116
Mailing address
130 S BARSTOW ST, EAU CLAIRE, WI 54701-3691
(715) 833-7600
(715) 833-7116

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6585
WI

Other

Enumeration date
07/16/2006
Last updated
07/08/2007
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