MS. Divora Wilma Stern, LCSW

NPI #1689891327 in Willits, California

Provider Information

NPI Number: 1689891327
Entity Type: Individual
Name: MS. Divora Wilma Stern, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 175 S HUMBOLDT ST
City: Willits
State: California
ZIP Code: 95490-3511
Phone: (707) 354-9911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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