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Individual

JOSEPH BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
2412 S CLIFF AVE, STE 100, SIOUX FALLS, SD 57105-4031
(605) 322-4079
Mailing address
2412 S CLIFF AVE, STE 100, SIOUX FALLS, SD 57105-4031
(605) 322-4079

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05051225
SD

Other

Enumeration date
12/04/2014
Last updated
12/04/2014
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