Individual
KIA KRONAIZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 E MAIN ST, VERMILLION, SD 57069-3312
(605) 440-2176
Mailing address
717 E MAIN ST, VERMILLION, SD 57069-3312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6418
SD
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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