Individual
EMIL WILLIAM SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6999 CARRROLTON PIKE, GALAX, VA 24333
(276) 238-5600
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009870
VA
Other
Enumeration date
05/22/2017
Last updated
04/08/2021
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