Individual
DAVIDA NICOLE SHEREE SANDE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW,CSW
Contact information
Practice address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 444-7500
Mailing address
240 GRANDVIEW AVE W APT 214, ROSEVILLE, MN 55113-4752
(605) 254-8026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
35364
MN
104100000X
Social Worker
Primary
6919
SD
Other
Enumeration date
10/15/2025
Last updated
12/31/2025
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