Individual
CARLY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACT
Contact information
Practice address
1807 WILLIAMS ST, STURGIS, SD 57785-1142
(605) 347-2991
Mailing address
PO BOX 188, STURGIS, SD 57785-0188
(605) 347-2991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311566039
—
SD
Enumeration date
06/06/2019
Last updated
06/06/2019
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