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Individual

STACEY JO ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW-PIP

Contact information

Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 891-4499
Mailing address
2040 W MAIN ST STE 203, RAPID CITY, SD 57702-2446
(605) 519-9523

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6635
SD

Other

Enumeration date
11/18/2021
Last updated
12/15/2025
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