Individual
JOANNE CAROL HAIRY SHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
40703 128 ST, GROTON, SD 57445
(605) 454-1167
Mailing address
40703 128TH ST, GROTON, SD 57445-5431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3040
SD
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
3010
SD
Other
Enumeration date
11/17/2006
Last updated
12/08/2023
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