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Individual

COLLIN JANSEN BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
4500 N LEWIS AVE, SIOUX FALLS, SD 57104-7111
(605) 322-2982
Mailing address
4500 N LEWIS AVE, SIOUX FALLS, SD 57104-7111
(605) 322-2982

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4904
SD

Other

Enumeration date
03/24/2020
Last updated
03/24/2020
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