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Individual

MRS. GRACE MARIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2109 S NORTON AVE, SIOUX FALLS, SD 57105-3730
(605) 334-2696
Mailing address
1412 S BRUCE RD, SIOUX FALLS, SD 57105-1217
(712) 260-1438

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
20690
SD
101YP2500X
Professional Counselor
Primary
LPC20690
SD

Other

Enumeration date
07/01/2022
Last updated
07/01/2022
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