Individual
STEPHANIE RENEE SUNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 444-3620
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252913
KY
Other
Enumeration date
07/17/2012
Last updated
08/18/2023
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