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Individual

TARA KNOBLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-PIP

Contact information

Practice address
2109 S NORTON AVE, SIOUX FALLS, SD 57105-3730
(605) 334-2696
Mailing address
2109 S NORTON AVE, SIOUX FALLS, SD 57105-3730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4770
SD

Other

Enumeration date
12/23/2017
Last updated
12/23/2017
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