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Organization

YANKTON SIOUX TRIBE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT FLYING HAWK (TRIBAL CHAIRMAN)
(605) 469-5370
Entity
Organization

Contact information

Practice address
800 MAIN SW, WAGNER, SD 57380-9602
(605) 384-3641
(605) 384-5687
Mailing address
P.O. BOX 1153, WAGNER, SD 57380-9602
(605) 384-3641
(605) 384-5687

Taxonomy

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

Other

Enumeration date
02/01/2019
Last updated
02/01/2019
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