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Individual

FRAN J VANBOCKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, RN

Contact information

Practice address
105 N EXENE ST # 17, GETTYSBURG, SD 57442-1104
(605) 765-2164
Mailing address
105 N EXENE ST # 17, GETTYSBURG, SD 57442-1104
(605) 765-2164

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1154
SD
101YP2500X
Professional Counselor
1154
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154
LPC
SD
01
R024957
SD-RN R024957
SD
Enumeration date
03/14/2008
Last updated
03/14/2008
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