Individual
JENNA VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-5948
Mailing address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-5948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3459
SD
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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