Whalio Doctors

NPI 1013740158

Sonja Anne Tennyson, LCSW

Practitioner Clinical Social Worker Custer, SD

Practice location

Address
35 S 4th St, Custer, SD 57730-1916
Phone
(605) 440-1960
Mailing address
11983 Mellow Meadow Pl, Custer, SD 57730-9212

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5121 (SD)

Registry record

NPI
1013740158
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Aug 2024
Record last updated
23 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.