Organization
G3 GRACE GRIT GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI EINING CSW-PIP (CERTIFIED SOCIAL WORKER)
(605) 350-4812
Entity
Organization
Contact information
Practice address
212 5TH AVE STE 1, BROOKINGS, SD 57006-2094
(605) 350-4812
Mailing address
226 HICKORY ST, BROOKINGS, SD 57006-4149
(605) 350-4812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4723
BOARD OF SOCIAL WORK EXAMINERS
SD
Enumeration date
01/15/2024
Last updated
01/15/2024
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