Provider Information for 1942766746
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JOSEPH MINETTE STANFILL LCSW
Sex: Male
NPI: 1942766746
Last Updated: 2025-01-14
Certification Date: 2025-01-14
Certification Date: 2025-01-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942766746 | ||||||||
| Enumeration Date | 2019-02-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2900 DOOLITTLE DR ELLSWORTH AFB, SD 57706-4821 United States Phone: 605-385-3656 | Fax: | ||||||||
| Primary Practice Address | 2900 DOOLITTLE DR ELLSWORTH AFB, SD 57706-4821 United States Phone: 605-385-3656 | Fax: | ||||||||
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