Organization
CELESTE MICHELE UTHE-BUROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE MICHELE UTHE-BUROW (OWNER & PROVIDER)
(605) 201-0104
Entity
Organization
Contact information
Practice address
1108 W GLEN EAGLE CIR, SIOUX FALLS, SD 57108-4122
(605) 201-0104
Mailing address
1108 W GLEN EAGLE CIR, SIOUX FALLS, SD 57108-4122
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT1077
STATE LIC
SD
Enumeration date
08/21/2019
Last updated
08/21/2019
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