Individual
LILA ROSE LEADER CHARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
153 S. MAIN STREET., MISSION, SD 57555
(605) 988-7100
Mailing address
PO BOX 253, ROSEBUD, SD 57570-0253
(605) 988-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6604
SD
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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