Kurniawan, Mary E
Kurniawan, Mary E is an sole proprietor health care provider with primary practice located at 915 Mt View Rd , Rapid City SD 57702-3414. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kurniawan, Mary E can be contacted via phone (605) 755-7300.Contact Information
Primary practice address
915 Mt View Rd
Rapid City SD 57702-3414
Phone: (605) 755-7300
Fax: (605) 755-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3497 | South Dakota |
Profile Details
| NPI number | 1992242762 |
|---|---|
| LBN Legal business name | Kurniawan, Mary E |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2017 |
| Last updated | Apr 24th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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