Individual
MRS. SANDRA ELLEN FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-3418
(605) 384-7228
Mailing address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-7226
(605) 384-7228
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1248
SD
104100000X
Social Worker
Primary
5044
SD
Other
Enumeration date
07/10/2007
Last updated
06/29/2026
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