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Individual

MRS. LAVONNE L APPLETOFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LSW

Contact information

Practice address
405 8TH AVE NW, SUITE 333, ABERDEEN, SD 57401
(605) 225-3622
(605) 229-2719
Mailing address
405 8TH AVE NW, SUITE 333, ABERDEEN, SD 57401
(605) 225-3622
(605) 229-2719

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LPCMH2035
SD
104100000X
Social Worker
Primary
LSW805
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4993776
BLUE CROSS BLUE SHIELD
SD
05
6575712
SD
Enumeration date
10/26/2006
Last updated
07/08/2007
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