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1770125874
JACOB JOHN FOLSTROM
RAPID CITY, SD
NPI
1770125874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SD LPC7205)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
JACOB JOHN FOLSTROM M.S., LPC
2902 W MAIN ST
RAPID CITY, SD 57702-8132
Phone number: 605-721-8822
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Mailing Address
JACOB JOHN FOLSTROM M.S., LPC
912 FLORMANN ST
RAPID CITY, SD 57701-5320
Phone number: 605-719-9680
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