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Individual

ROBYN L BLACK FEATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW-PIP

Contact information

Practice address
210 1ST STREET, WANBLEE, SD 57577-0290
(605) 462-6155
(605) 462-6631
Mailing address
PO BOX 290, WANBLEE, SD 57577-0290
(605) 462-6155
(605) 462-6631

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4900
SD

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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