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Individual

KATELYN MARIE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSW-PIP, QMHP

Contact information

Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-4917
(605) 668-3100
Mailing address
PO BOX 7600, YANKTON, SD 57078-7600
(605) 668-3100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2842
NE
1041C0700X
Clinical Social Worker
2081
NE
1041C0700X
Clinical Social Worker
Primary
5213
SD

Other

Enumeration date
06/26/2021
Last updated
10/27/2021
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