Individual
MR. GAYLEN BENDEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4410 S TENNIS LN, SIOUX FALLS, SD 57106-2256
(605) 334-6211
(605) 362-5601
Mailing address
4410 S TENNIS LN, SIOUX FALLS, SD 57106-2256
(605) 334-6211
(605) 362-5601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-PIP 444
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6570034
—
SD
Enumeration date
08/22/2006
Last updated
07/08/2007
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