Individual
LANE RANAE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 W HWY 38, SUITE 126, HARTFORD, SD 57033
(605) 494-1500
Mailing address
304 W HWY 38, SUITE 126, HARTFORD, SD 57033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20894
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
10031434
SD
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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