Organization
ST JOSEPHS INDIAN SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TYRELL (EXECUTIVE DIRECTOR OF CHILD SERVICE)
(605) 234-3401
Entity
Organization
Contact information
Practice address
1301 N MAIN AVE, CHAMBERLAIN, SD 57325
(605) 234-3401
Mailing address
1301 N MAIN AVE, CHAMBERLAIN, SD 57325
(605) 234-3401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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