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1942826631
KETTIE ANN TISHER FARNAM
RAPID CITY, SD
NPI
1942826631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SD LPC-MH30552)
Enumeration Date
2020-06-18
Last Update Date
2024-11-20
Business Address
KETTIE ANN TISHER FARNAM LPC-MH
2902 W MAIN ST STE 2
RAPID CITY, SD 57702-8174
Phone number: 605-721-8822
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Mailing Address
KETTIE ANN TISHER FARNAM LPC-MH
2902 W MAIN ST STE 2
RAPID CITY, SD 57702-8174
Phone number: 605-721-8822
Copy
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