Individual
SAM LEINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 EAST THIRTY-EIGHTH ST, SIOUX FALLS, SD 57105-5898
(605) 367-7924
Mailing address
3515 E BRAEBURN CIR, SIOUX FALLS, SD 57103-4370
(605) 359-4142
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
56680-1
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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