Individual
GRANT ROBERT FODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.S.
Contact information
Practice address
46474 252ND ST, COLTON, SD 57018-5712
(605) 446-3538
Mailing address
800 NE 9TH ST, MADISON, SD 57042-1199
(605) 256-7700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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