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Individual

SANDRA JO MATHIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
610 W 23RD ST STE 5, YANKTON, SD 57078-1209
(605) 204-6646
Mailing address
610 W 23RD ST STE 5, YANKTON, SD 57078-1209
(605) 204-6646

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/27/2023
Last updated
11/21/2024
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