Individual
MS. JOSEPHINE A. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-PIP
Contact information
Practice address
29 N 6TH ST., CUSTER, SD 57730
(605) 431-1927
(605) 923-6466
Mailing address
15088 220TH ST, BOX ELDER, SD 57719-8101
(605) 923-6466
(605) 923-6466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2103
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6571340
—
SD
Enumeration date
10/11/2006
Last updated
07/09/2007
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