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Individual

JOEL SONNICHSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7924
Mailing address
2219 S PHILLIPS AVE, SIOUX FALLS, SD 57105-3837
(605) 367-7924

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
69019-1
SD
174400000X
Specialist
69019-1
SD

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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