Individual
MS. MARCIE LEVON SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, LAC
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770-1201
(605) 867-3070
Mailing address
EAST HWY 18, PO BOX 1201, PINE RIDGE, SD 57770-1201
(605) 867-3070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13101619
SD
1041C0700X
Clinical Social Worker
Primary
3564
SD
Other
Enumeration date
12/21/2016
Last updated
01/12/2017
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