Organization
STARFISH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA A VANDER LUGT PHD (OWNER)
(414) 491-9530
Entity
Organization
Contact information
Practice address
4301 W 57TH ST STE 100, SIOUX FALLS, SD 57108-2255
(605) 335-1516
Mailing address
709 W STERLING OAK CIR, SIOUX FALLS, SD 57108-4101
(414) 491-9530
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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