Individual
MELISSA ANNE GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
100 S SPRING AVE STE 160, SIOUX FALLS, SD 57104-3634
(605) 210-6282
(605) 309-7963
Mailing address
100 S SPRING AVE STE 160, SIOUX FALLS, SD 57104-3634
(605) 210-6282
(605) 309-7963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
22979
MN
1041C0700X
Clinical Social Worker
Primary
6093
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22979
CLINICAL LICENSE
MN
01
—
6093
CLINICAL LICENSE
SD
Enumeration date
07/21/2016
Last updated
09/07/2022
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