Individual
MRS. DIANE MARIE COVEY KLUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC MH
Contact information
Practice address
417 S MAIN ST, WINNER, SD 57580-1794
(605) 842-2284
Mailing address
417 S MAIN ST, WINNER, SD 57580-1794
(605) 842-2284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC MH2180
SD
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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