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Individual

MR. JONATHAN RAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, PIP

Contact information

Practice address
820 E CABOT ST, PIERRE, SD 57501-2511
(605) 484-9679
Mailing address
820 E CABOT ST, PIERRE, SD 57501-2511
(605) 484-9679

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6571170
SD
Enumeration date
03/15/2007
Last updated
03/31/2008
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