Individual
NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
2130 8TH ST S, BROOKINGS, SD 57006-3507
(605) 696-4707
(605) 696-4704
Mailing address
2130 8TH ST S, BROOKINGS, SD 57006-3507
(605) 696-4707
(605) 696-4704
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
70324
SD
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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