Individual
ERIN WENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
180 N WILDER BLVD, HERMOSA, SD 57744-5424
(605) 877-2629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P012389
NC
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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