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NPI Code Detail

MEDICARE: TORRE JO BLOHM LCSW

MEDICARE: TORRE JO BLOHM LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor6634SD
2104100000XSocial Worker6634SD

General Provider Information

NPI Number : 1790583631
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORRE JO BLOHM LCSW
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-9419
Fax Number :
Provider Business Practice Location Address
First Line : 7511 S LOUISE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-5997
Country : US
Telephone Number : 605-312-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 12/15/2025

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Directions to “ TORRE JO BLOHM LCSW” Practice Location

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