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Individual

MS. KRISTINA HORNBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
7020 SUNSET RD, BROOKINGS, SD 57006-7080
(605) 693-3629
(605) 693-1326
Mailing address
7020 SUNSET RD, BROOKINGS, SD 57006-7080
(605) 693-3629
(605) 693-1326

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13101607
SD

Other

Enumeration date
05/16/2014
Last updated
05/16/2014
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