Individual
KELLI WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,CSW-PIP
Contact information
Practice address
1200 S 7TH AVE, SIOUX FALLS, SD 57105
(605) 336-2140
Mailing address
2400 W 49TH ST, SIOUX FALLS, SD 57105-6581
(605) 312-8700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3407
SD
Other
Enumeration date
10/11/2012
Last updated
06/01/2018
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