Individual
MR. BAIRD WAYNE SUNDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1601 COLLEGE DR N, DEVILS LAKE, ND 58301-1550
(701) 662-8393
Mailing address
1601 COLLEGE DR N, DEVILS LAKE, ND 58301-1550
(701) 662-8393
(701) 775-7880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2081
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456001342
DAY TREATMENT PROGRAM
ND
Enumeration date
05/03/2007
Last updated
09/09/2020
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