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Individual

ALAN C MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW PIP

Contact information

Practice address
2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
(605) 348-0477
(605) 348-0479
Mailing address
2920 SHERIDAN LAKE RD, RAPID CITY, SD 57702-5350
(605) 348-0477
(605) 348-0479

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 1116
SD

Other

Enumeration date
10/21/2006
Last updated
07/08/2007
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