# G3 GRACE GRIT GROWTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033980347
- **Authorized official:** NIKKI EINING CSW-PIP (CERTIFIED SOCIAL WORKER)
- **Authorized official phone:** (605) 350-4812

## Contact information

- **Practice address:** 212 5TH AVE STE 1, BROOKINGS, SD 57006-2094
- **Practice address phone:** (605) 350-4812
- **Mailing address:** 226 HICKORY ST, BROOKINGS, SD 57006-4149
- **Mailing address phone:** (605) 350-4812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 01/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4723 | BOARD OF SOCIAL WORK EXAMINERS | SD |