| Linda Holcomb | |
|
3601 Canyon Lake Dr Rapid City SD 57702-3900 | |
| (605) 341-8647 | |
| (605) 341-0489 |
| Full Name | Linda Holcomb |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3601 Canyon Lake Dr, Rapid City, South Dakota |
| Authorized Official Name and Position | Linda Kay Holcomb (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6053418647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Holcomb 3601 Canyon Lake Dr Rapid City SD 57702-3900 Ph: (605) 341-8647 | Linda Holcomb 3601 Canyon Lake Dr Rapid City SD 57702-3900 Ph: (605) 341-8647 |
| NPI Number | 1972701266 |
|---|---|
| Provider Enumeration Date | 07/07/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972701266 | NPI | - | NPPES |
| 0004392 | Other | SD | BLUE CROSS/BLUE SHIELD |
| 6570532 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW-PIP 946 (South Dakota) | Primary |
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