Individual
MS. LINDA K THORESON-HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3601 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 341-8647
(605) 341-0489
Mailing address
3601 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 341-8647
(605) 341-0489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SDCSWPIP946
SD
106H00000X
Marriage & Family Therapist
SDLMFT1033
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004392
BLUE CROSS/BLUE SHIELD
SD
05
—
6570530
—
SD
Enumeration date
01/24/2006
Last updated
01/15/2008
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