Individual
STAN CHRISTOPHERSON120245
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(606) 333-6828
Mailing address
3209 E 38TH ST, SIOUX FALLS, SD 57103-4831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
182
SD
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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