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Individual

JONATHAN M FEIOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2412 S CLIFF AVE, SUITE 200, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080
Mailing address
2412 S CLIFF AVE, SUITE 200, SIOUX FALLS, SD 57105-4031
(605) 322-4079
(605) 322-4080

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW 2094
SD

Other

Enumeration date
08/22/2007
Last updated
10/13/2009
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