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Organization
TREC BADLANDS PRENATAL TO FIVE HEAD START
Active
Organization
TREC BADLANDS PRENATAL TO FIVE HEAD START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JACOBSON MSW,MBA (EXECUTIVE DIRECTOR)
(605) 723-8837
Entity
Organization
Contact information
Practice address
101 5TH AVE, BELLE FOURCHE, SD 57717-1139
(605) 723-8837
(605) 723-8834
Mailing address
101 5TH AVE, BELLE FOURCHE, SD 57717-1139
(605) 723-8837
(605) 723-8834
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
SD
Other
Enumeration date
01/05/2011
Last updated
07/21/2022
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