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1316366255
CHAD NIELSEN
SIOUX FALLS, SD
NPI
1316366255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: SD 07031303)
Enumeration Date
2014-04-08
Last Update Date
2014-04-08
Business Address
CHAD NIELSEN LAC
705 E 41ST ST
SIOUX FALLS, SD 57105-6053
Phone number: 605-357-0138
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Mailing Address
CHAD NIELSEN LAC
705 E 41ST ST
SIOUX FALLS, SD 57105-6053
Phone number: 605-357-0138
Copy
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