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Individual

MR. JEROME NEAL VANDERLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1410 W 25TH ST, SIOUX FALLS, SD 57105-1552
(605) 334-2696
(605) 339-9944
Mailing address
1410 W 25TH ST, SIOUX FALLS, SD 57105-1552
(605) 334-2696
(605) 339-9944

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT1205
SD

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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