Individual
KELLY LAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-4700
(605) 328-4702
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 238-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH2269
SD
Other
Enumeration date
10/10/2014
Last updated
11/13/2018
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