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Individual

ADRIENNE MACKENZIE SIEVERT ROMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWA, MSW

Contact information

Practice address
103 CARROUSEL LN, CARY, NC 27513-4326
(831) 239-9961
Mailing address
8975 7TH ST, BAY CITY, OR 97107-9690
(831) 239-9961

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
C011321
NC
1041C0700X
Clinical Social Worker
Primary
L13801
OR
1041C0700X
Clinical Social Worker
POO9549
NC

Other

Enumeration date
03/13/2017
Last updated
12/06/2022
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