Individual
BRIANNA GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW, LAC
Contact information
Practice address
818 S BROADWAY STE 113, WATERTOWN, SD 57201-4800
(605) 494-1500
Mailing address
818 S BROADWAY STE 113, WATERTOWN, SD 57201-4800
(605) 494-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
30454
MN
1041C0700X
Clinical Social Worker
Primary
6056
SD
Other
Enumeration date
12/16/2018
Last updated
07/18/2024
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