Individual
TODD WAYNE HERRBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW-PIP
Contact information
Practice address
2210 W BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 336-1974
(605) 336-9031
Mailing address
2210 W BROWN PL, SIOUX FALLS, SD 57105-6582
(605) 336-1974
(605) 336-9031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6570570
—
SD
Enumeration date
01/26/2007
Last updated
03/14/2012
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