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Individual

HEATHER ANN RYSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSW-PIP

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3374
SD

Other

Enumeration date
05/06/2019
Last updated
07/25/2023
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