Individual
KATHERINE L OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW-PIP
Contact information
Practice address
12167 POINTS LN, DEADWOOD, SD 57732-7374
(605) 310-0356
(605) 716-4397
Mailing address
12167 POINTS LN, DEADWOOD, SD 57732-7374
(605) 310-0356
(605) 716-4397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
3102
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326372467
MEDICARE ID
SD
Enumeration date
09/22/2009
Last updated
09/27/2021
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