Organization
SANDBERG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVID SANDBERG MSW, LCSW (OWNER/THERAPIST)
(608) 632-3286
Entity
Organization
Contact information
Practice address
118 E JEFFERSON ST, VIROQUA, WI 54665-1613
(608) 632-3286
Mailing address
PO BOX 11, VIROQUA, WI 54665-0011
(608) 632-3286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
02/13/2020
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