Individual
ANITA RUTH HARTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
(612) 725-1315
Mailing address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
(612) 725-1315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3304
SD
Other
Enumeration date
11/30/2010
Last updated
03/26/2024
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