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1821368515
WILLOW PROFESSIONALS, LLC
SIOUX FALLS, SD
NPI
1821368515
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Entity Type
Organization
Authorized Contact
STEVEN KANT
Member
605-483-3636
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
WILLOW PROFESSIONALS, LLC
122 S PHILLIPS AVE SUITE 200
SIOUX FALLS, SD 57104-6717
Phone number: 605-332-5298
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Mailing Address
WILLOW PROFESSIONALS, LLC
122 S PHILLIPS AVE SUITE 200
SIOUX FALLS, SD 57104-6717
Phone number: 605-332-5298
Copy
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