Individual
NICOLE VANZUIDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
610 E 7TH ST, PLATTE, SD 57369
(605) 337-3444
Mailing address
27080 379TH AVE, CORSICA, SD 57328-5016
(605) 680-4202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11519
SD
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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