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Organization
SPEECH AND LANGUAGE STUDIO OF THE BLACK HILLS
Active
Organization
SPEECH AND LANGUAGE STUDIO OF THE BLACK HILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA S WIRTZ MA, CCC-SLP (OWNER)
(605) 431-8501
Entity
Organization
Contact information
Practice address
2040 W MAIN ST STE 209, RAPID CITY, SD 57702-2446
(605) 431-8501
Mailing address
2040 W MAIN ST STE 209, RAPID CITY, SD 57702-2446
(605) 431-8501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
061
SD
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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