Individual
MRS. KASSIE MARIE DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, MA, CCC--SLP
Contact information
Practice address
23777 PINE HAVEN DR, RAPID CITY, SD 57702-7407
(605) 661-4623
Mailing address
23777 PINE HAVEN DR, RAPID CITY, SD 57702-7407
(605) 661-4623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
187
SD
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/07/2010
Last updated
04/12/2025
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