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1982259230
DEREK GRANUM
SIOUX FALLS, SD
NPI
1982259230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SD 4958)
Enumeration Date
2019-08-05
Last Update Date
2022-05-18
Business Address
DEREK GRANUM LCSW
2400 W 49TH ST
SIOUX FALLS, SD 57105-6581
Phone number: 605-312-8700
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Mailing Address
DEREK GRANUM LCSW
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-322-5700
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