Individual
DARIUS HONOMICHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-4861
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-4861
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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