Individual
DEREK GRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2400 W 49TH ST, SIOUX FALLS, SD 57105-6581
(605) 312-8700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 322-5700
(605) 322-5832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4958
SD
Other
Enumeration date
08/05/2019
Last updated
05/18/2022
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