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Individual

JESSICA A SOPKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
357 KANSAS AVE SE, HURON, SD 57350-2517
(605) 352-8596
(605) 352-7001
Mailing address
357 KANSAS AVE SE, HURON, SD 57350-2517
(605) 352-8596
(605) 352-7001

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4843
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4843
BOARD OF SOCIAL WORK EXAMINERS
SD
Enumeration date
02/08/2019
Last updated
02/08/2019
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