Individual
MRS. BRENDA JO RISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2121 W 63RD PL, SUITE 200, SIOUX FALLS, SD 57108-5058
(605) 275-5700
(605) 275-5777
Mailing address
500 LADELLE AVE, DELL RAPIDS, SD 57022-1634
(605) 428-3574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1225
SD
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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