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Individual

BRITTANY ANN THAMMAVONGKEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CAC

Contact information

Practice address
521 N MAIN AVE, SIOUX FALLS, SD 57104-5948
(605) 367-8793
Mailing address
4308 S ARWAY DR, SIOUX FALLS, SD 57106-3131

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14091672
SD
104100000X
Social Worker
Primary
6322
SD

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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