Individual
MS. EILEEN SPELLACY LEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
24 EAST NEW YORK, RAPID CITY, SD 57701-2441
(605) 342-0504
(605) 348-0919
Mailing address
PO BOX 9462, RAPID CITY, SD 57709-9462
(605) 342-0504
(605) 348-0919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1806
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995473
BLUE CROSS/BLE SHIELD
SD
05
—
6571040
—
SD
01
—
9233748
DAKOTA CARE
SD
Enumeration date
02/24/2006
Last updated
07/08/2007
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