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1629472220
KELLY LAUCK
SIOUX FALLS, SD
NPI
1629472220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SD LPC-MH2269)
Enumeration Date
2014-10-10
Last Update Date
2018-11-13
Business Address
KELLY LAUCK
1621 S MINNESOTA AVE
SIOUX FALLS, SD 57105-1743
Phone number: 605-328-4700
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Mailing Address
KELLY LAUCK
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-238-6585
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