Individual
EDIE KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 N WEST AVE, VOLUNTEERS OF AMERICA - DAKOTAS, SIOUX FALLS, SD 57104-5722
(605) 367-4293
(605) 367-5714
Mailing address
PO BOX 89306, VOLUNTEERS OF AMERICA - DAKOTAS, SIOUX FALLS, SD 57105-6659
(605) 367-4293
(605) 367-5714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/29/2015
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