Individual
LINDA CHLECQ-LYSAGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, ACSW
Contact information
Practice address
113 COMANCHE RD, MHC 88 FM, FORT MEADE, SD 57741-1002
(605) 490-2404
Mailing address
PO BOX 320, FORT MEADE, SD 57741-0320
(605) 490-2404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5387
MN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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