Individual
MRS. SANDRA ELLEN FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
500 E 9TH ST, WINNER, SD 57580-0662
(605) 842-1465
(605) 842-2366
Mailing address
PO BOX 662, 500 E 9TH ST, WINNER, SD 57580-0662
(605) 842-1465
(605) 842-2366
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1248
SD
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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