Caitlyn Slack
Social Worker, Clinical in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1164095592
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1164095592
- Entity type
- Individual (NPI-1)
- Name
- Caitlyn Slack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5214 | SD | Yes |
Practice location
705 E 41st StSioux Falls, SD 57105-6053
Phone 605-444-7643
Mailing address
705 E 41st StSioux Falls, SD 57105-6053
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