Individual
SALLY STANAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 LOCUST ST, YANKTON, SD 57078-3406
(605) 665-7392
Mailing address
815 LOCUST ST, YANKTON, SD 57078-3406
(605) 665-7392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
438-SLP
SD
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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