Charles Deridder

NPI #1013330281 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1013330281
Entity Type: Individual
Name: Charles Deridder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 2501 W 22ND ST
City: Sioux Falls
State: South Dakota
ZIP Code: 57105-1305
Phone: (605) 336-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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