STARDUST H RED BOW

RAPID CITY, SD
NPI1578709465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SD  2993)
Enumeration Date2008-12-23
Last Update Date2014-01-13
Business Address
Ms. STARDUST H RED BOW MSW, CSW-PIP
3625 5TH ST
RAPID CITY, SD 57701
Phone number: 605-718-1095
Mailing Address
Ms. STARDUST H RED BOW MSW, CSW-PIP
3625 5TH ST
RAPID CITY, SD 57701
Phone number: 605-718-1095