MRS. Mary Sue Fonkert, M.S.W., L.C.S.W.
NPI #1245327584 in Mobridge, South Dakota
Provider Information
- NPI Number
- 1245327584
- Entity Type
- Individual
- Name
- MRS. Mary Sue Fonkert, M.S.W., L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.S.W., L.C.S.W.
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1309 10TH AVE W
- City
- Mobridge
- State
- South Dakota
- ZIP Code
- 57601-1146
- Phone
- (605) 845-8225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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