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 |
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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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