Individual
CRYSTAL KAY DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 HUSTEAD ST, WALL, SD 57790-0124
(605) 515-0262
Mailing address
810 HUSTEAD ST, WALL, SD 57790-0124
(605) 515-0262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2066
SD
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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