Individual
HARLIE BRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
920 4TH ST, GARRETSON, SD 57030-5703
(605) 594-3466
Mailing address
920 4TH ST, GARRETSON, SD 57030-2006
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
408A
SD
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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