| G3 Grace Grit Growth Llc | |
|
212 5th Ave Ste 1 Brookings SD 57006-2094 | |
| (605) 350-4812 | |
| Not Available |
| Full Name | G3 Grace Grit Growth Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 212 5th Ave Ste 1, Brookings, South Dakota |
| Authorized Official Name and Position | Nikki Eining (CERTIFIED SOCIAL WORKER) |
| Authorized Official Contact | 6053504812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G3 Grace Grit Growth Llc 226 Hickory St Brookings SD 57006-4149 Ph: (605) 350-4812 | G3 Grace Grit Growth Llc 212 5th Ave Ste 1 Brookings SD 57006-2094 Ph: (605) 350-4812 |
| NPI Number | 1033980347 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033980347 | NPI | - | NPPES |
| 4723 | Other | SD | BOARD OF SOCIAL WORK EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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