Individual
DIANE L PRADARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(057) 181-0956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
128504-121
WI
104100000X
Social Worker
Primary
128504-121
WI
Other
Enumeration date
09/16/2009
Last updated
03/21/2024
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