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Individual

RUTH HEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
1411 LAUREL ST, WHITEWOOD, SD 57793-2138

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106H00000X
Marriage & Family Therapist
2007
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4994440
BLUE CROSS/BLUE SHIELD
SD
Enumeration date
04/16/2007
Last updated
11/07/2007
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