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NPI Code Detail

MEDICARE: SHELBI KATHERINE THOMPSON BSW

MEDICARE:   SHELBI KATHERINE THOMPSON  BSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1831810217
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBI KATHERINE THOMPSON BSW
Provider Business Mailing Address
First Line : 625 FLORMANN ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-5469
Country : US
Telephone Number : 605-340-1234
Fax Number :
Provider Business Practice Location Address
First Line : 625 FLORMANN ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-5469
Country : US
Telephone Number : 605-340-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2022
Last Update Date : 09/06/2022

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Directions to “ SHELBI KATHERINE THOMPSON BSW” Practice Location

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