Individual
MS. DEBRA R BROCKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
904 W 23RD ST; STE 101, HEARTLAND PSYCHOLOGICAL SERVICES, YANKTON, SD 57078-1206
(605) 665-0841
(605) 665-0096
Mailing address
904 W 23RD ST; STE 101, HEARTLAND PSYCHOLOGICAL SERVICES, YANKTON, SD 57078-1206
(605) 665-0841
(605) 665-0096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2943
SD
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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