| Name | BURNETT SIMONA WERBOWSKY |
|---|---|
| Address | MERRICKNY |
| Profession | LICENSED CLINICAL SOCIAL WORK |
| License No | 027321 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron12/31/81) |
| Additional Qualification | R -Psychotherapy Privilege |
| Status | NOT REGISTERED |
| Registered through last day of |