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1609133297
GREG BROSTAD
SIOUX FALLS, SD
NPI
1609133297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SD 7152)
Enumeration Date
2012-04-19
Last Update Date
2023-03-30
Business Address
GREG BROSTAD LPC
2412 S CLIFF AVE SUITE 100
SIOUX FALLS, SD 57105-4031
Phone number: 605-322-4079
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Mailing Address
GREG BROSTAD LPC
PO BOX 5045 ATTN: P.F.S. PROV ENROLLMT
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-6428
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