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1407939929
KELLY JOE BASS
SIOUX FALLS, SD
NPI
1407939929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SD CSWPIP1983)
Enumeration Date
2006-10-21
Last Update Date
2007-07-08
Business Address
-- KELLY JOE BASS CSWPIP
705 E 41ST STREET SUITE 100
SIOUX FALLS, SD 57105-6047
Phone number: 605-357-0121
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Mailing Address
-- KELLY JOE BASS CSWPIP
705 E 41ST STREET SUITE 100
SIOUX FALLS, SD 57105-6047
Phone number: 605-357-0121
Copy
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