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Individual

KELSEY SHANNON SOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
841 JACKSON ST STE C, BURKE, SD 57523-2065
(605) 494-1500
Mailing address
30863 301ST ST, WINNER, SD 57580-6216
(605) 208-4047

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH30578
SD
101YM0800X
Mental Health Counselor
LPC20398
SD

Other

Enumeration date
07/24/2019
Last updated
10/17/2024
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