| Mrs Mary Sue Fonkert, MSW, LCSW | |
|
1309 10th Ave W, Mobridge, SD 57601-1146 | |
| (605) 845-8225 | |
| Not Available |
| Full Name | Mrs Mary Sue Fonkert |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1309 10th Ave W, Mobridge, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245327584 | NPI | - | NPPES |
| 41548 | Other | SD | MENTAL HEALTH PROVIDER |
| 96869 | Other | SD | MENTAL HEALTH PROVIDER |
| 4996672 | Other | SD | MENTAL HEALTH PROVIDER |
| 177544 | Other | SD | MENTAL HEALTH |
| 6570960 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1852 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Sue Fonkert, MSW, LCSW Box 133, Mobridge, SD 57601-0133 Ph: (605) 845-7938 | Mrs Mary Sue Fonkert, MSW, LCSW 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-8225 |
Ms. Janet Marie Lassen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12451 Hwy 1806 N, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072 |