MARY E KURNIAWAN

RAPID CITY, SD
NPI1992242762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: SD  3497)
Enumeration Date2017-01-31
Last Update Date2017-04-24
Business Address
MARY E KURNIAWAN LICSW
915 MT VIEW RD
RAPID CITY, SD 57702-3414
Phone number: 605-755-7300
Mailing Address
MARY E KURNIAWAN LICSW
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-8110
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