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Individual

DANAE LYNN MUTCHELKNAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
57107, SIOUX FALLS, SD 57107
(605) 605-6056
Mailing address
440 N WOLFE RD, SUNNYVALE, CA 94085-3869

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17031751
SD
101YM0800X
Mental Health Counselor
Primary
LPC20338
SD

Other

Enumeration date
05/02/2018
Last updated
01/11/2019
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