Organization
MICHELLE VANDENHUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN VANDENHUL LCSW--PIP (OWNER)
(605) 271-1348
Entity
Organization
Contact information
Practice address
5000 S MINNESOTA AVE, SUITE 200, SIOUX FALLS, SD 57108-2707
(605) 271-1348
(605) 610-1477
Mailing address
5000 S MINNESOTA AVE, SUITE 200, SIOUX FALLS, SD 57108-2707
(605) 271-1348
(605) 610-1477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2740
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6571610
—
SD
Enumeration date
07/09/2014
Last updated
07/09/2014
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