Individual
SIERRA MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2133 MARKET ST STE 220, CAMP HILL, PA 17011-4718
(717) 496-5729
Mailing address
2133 MARKET ST STE 220, CAMP HILL, PA 17011-4718
(717) 496-5729
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
PA
Enumeration date
10/03/2019
Last updated
09/28/2021
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