Individual
HEIDI RUBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 5TH ST, RAPID CITY, SD 57701-6015
(605) 490-3592
Mailing address
3625 5TH ST, RAPID CITY, SD 57701-6015
(605) 490-3592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1827
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994150
BLUE CROSS/BLUE SHIELD
SD
Enumeration date
04/16/2007
Last updated
05/08/2019
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