Provider Demographics
NPI:1922144153
Name:HUBER, RANDEE SUE (MSW, LCSW PIP)
Entity Type:Individual
Prefix:
First Name:RANDEE
Middle Name:SUE
Last Name:HUBER
Suffix:
Gender:F
Credentials:MSW, LCSW PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-1713
Mailing Address - Country:US
Mailing Address - Phone:605-335-8243
Mailing Address - Fax:605-336-9031
Practice Address - Street 1:2210 W. BROWN PLACE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-336-1974
Practice Address - Fax:605-336-9031
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD20241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical