MARK SUNDSTROM, M.S.,LICSW

Social Worker - Clinical

Active Individual
NPI: 1548473903

Practice Address

209 W MAPLE AVE
Fayetteville, WV 25840

Phone: (304) 574-2100

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes DP00450472 (WV)

Frequently Asked Questions

NPI 1548473903 is the National Provider Identifier for MARK SUNDSTROM, M.S.,LICSW, a Social Worker - Clinical provider located in Fayetteville, WV. This NPI was enumerated on May 8, 2007.
MARK SUNDSTROM, M.S.,LICSW practices at 209 W MAPLE AVE, Fayetteville, WV 25840.

Quick Facts

NPI
1548473903
Type
Individual
Enumerated
May 8, 2007
Last Updated
Jul 9, 2007

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