Individual
GAYLE V STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCDC III
Contact information
Practice address
2520 EAST FRANKLIN, PIERRE, SD 57501
(605) 224-7247
(605) 224-5660
Mailing address
2520 EAST FRANKLIN, PIERRE, SD 57501
(605) 224-7247
(605) 224-5660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCDCIII06041262
SD
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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