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1699399758
TERRY IRVINE
RAPID CITY, SD
NPI
1699399758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SD 20974)
Enumeration Date
2020-06-04
Last Update Date
2024-06-21
Business Address
TERRY IRVINE LPC-SUPERVISEE
4447 S CANYON RD STE 6
RAPID CITY, SD 57702-1889
Phone number: 605-939-6700
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Mailing Address
TERRY IRVINE LPC-SUPERVISEE
4447 S CANYON RD STE 6
RAPID CITY, SD 57702-1889
Phone number: 605-939-6700
Copy
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