Individual
MR. NICHOLAS ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW-PIP
Contact information
Practice address
2650 JACKSON BLVD STE 18, RAPID CITY, SD 57702-3474
(605) 877-2010
Mailing address
2650 JACKSON BLVD STE 18, RAPID CITY, SD 57702-3474
(605) 877-2010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4975
SD
Other
Enumeration date
04/09/2014
Last updated
11/04/2019
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