Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SANDRA SUE PANKONIN, SOCIAL WORKER
Active Sole ProprietorSocial Worker · ROCHESTER, WI
Registration Details
- NPI Number
- 1417205162
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2012 (13.69760216894 yrs)
- Last Updated
- Aug 28, 2012
- License
-
8603-120 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
206 W. WADE STREETROCHESTER, WI, 53167Browse WI providers · Browse ZIP 53167
- Phone
- 2622105004
- Primary Specialty
-
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.