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Individual

MR. KEITH B BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6215 S CLIFF AVE, SIOUX FALLS, SD 57108-8596
(605) 322-3300
(605) 322-3301
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1677

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5251
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3033
LICENSE
SD
Enumeration date
01/23/2015
Last updated
04/15/2022
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