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Individual

MICHAEL FALCONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
601 4TH ST, STE 101, BROOKINGS, SD 57006-2065
(605) 322-4079
Mailing address
PO BOX 5045, ATTN: P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3347
SD

Other

Enumeration date
05/11/2015
Last updated
05/11/2015
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