| Mark Vincent Sundstrom, MS,LICSW | |
|
209 W Maple Ave, Fayetteville, WV 25840-1413 | |
| (304) 574-2100 | |
| (304) 574-2151 |
| Full Name | Mark Vincent Sundstrom |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 209 W Maple Ave, Fayetteville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548473903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00450472 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Vincent Sundstrom, MS,LICSW 209 W Maple Ave, Fayetteville, WV 25840-1413 Ph: (304) 574-2100 | Mark Vincent Sundstrom, MS,LICSW 209 W Maple Ave, Fayetteville, WV 25840-1413 Ph: (304) 574-2100 |
Mrs. Lorrie Jill Hudson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 355k, Fayetteville, WV 25840 Phone: 304-574-1585 | |
Heather Renee Collins, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 W Maple Ave, Fayetteville, WV 25840 Phone: 304-574-2100 | |
Chelsey Nicole Keathley, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 351 New River Ranch Dr, Fayetteville, WV 25840 Phone: 304-574-1058 |