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Carleen Annette Mazour, CSW

Social Worker in Rapid City, SD. Individual provider (NPI-1).

NPI number1124860119
StatusActive
Last updated in NPPESJun 10, 2024

Details

NPI
1124860119
Entity type
Individual (NPI-1)
Name
Carleen Annette Mazour
Credential
CSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2024
Certification date
Jun 10, 2024
Last updated
Jun 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker6279SDYes

Practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Phone 605-355-2500

Mailing address

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Phone 605-355-2500

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