Individual
TORI SARAH THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-PIP, LISW
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-3611
Mailing address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-3418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100180
IA
104100000X
Social Worker
5190
SD
1041C0700X
Clinical Social Worker
100180
IA
1041C0700X
Clinical Social Worker
Primary
6308
SD
Other
Enumeration date
08/10/2022
Last updated
07/14/2023
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