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Individual

MR. LARRY LEE DANCLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
4300 S LOUISE AVE STE 201, SIOUX FALLS, SD 57106-3124
(605) 334-7713
(605) 334-5348
Mailing address
4300 S LOUISE AVE STE 201, SIOUX FALLS, SD 57106-3124
(605) 334-7713
(605) 334-5348

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SD LPC MH2043
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4998068
BCBS
SD
05
6575280
SD
Enumeration date
12/27/2005
Last updated
05/06/2021
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