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Search › South Dakota › 1041C0700X

Todd Mack, CSW-PIP

NPI 1659608305 · on the registry since 2009

Practice

Address
123 19th St Ne
Watertown, SD 57201
Phone
(605) 886-0123
Fax
(605) 886-5447
Organisation at this address
Human Service Agency
Human Service Agency
Genoa Healthcare Llc
Human Service Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota