Individual
AMANDA RENEE CARTER-BOOMSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1424 9TH AVE SE, SUITE 7, WATERTOWN, SD 57201-5383
(605) 882-2740
(605) 882-4323
Mailing address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 357-0100
(605) 357-0140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC7090
SD
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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