TODD D MACK

WATERTOWN, SD
NPI1659608305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  16095)
Enumeration Date2009-11-17
Last Update Date2009-11-17
Business Address
MR. TODD D MACK CSW-PIP
123 19TH ST NE
WATERTOWN, SD 57201
Phone number: 605-886-0123
Mailing Address
MR. TODD D MACK CSW-PIP
123 19TH ST NE
WATERTOWN, SD 57201-2823
Phone number: 605-886-0123
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