Individual
LANCE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
820 NORTH WASHINGTON AVE, PLEC DAKOTA STATE UNIVERSITY, MADISON, SD 57042
(605) 256-5555
Mailing address
820 NORTH WASHINGTON AVE, PLEC DAKOTA STATE UNIVERSITY, MADISON, SD 57042
(605) 256-5555
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
72674-0
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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