Individual
BROCK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7924
Mailing address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
83823
SD
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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