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Individual

SUSAN ALINE SIMLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.C.S.W.

Contact information

Practice address
949 HARMON ST, STURGIS, SD 57785
(888) 365-6271
Mailing address
2007 BUTTE VIEW DR, STURGIS, SD 57785-1706
(701) 535-0616

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18243
MN
1041C0700X
Clinical Social Worker
4297
ND
1041C0700X
Clinical Social Worker
Primary
4952
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4952
LICENSE
SD
Enumeration date
07/24/2009
Last updated
09/06/2019
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