Individual
STACY RAE THOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC/SLP
Contact information
Practice address
40460 254TH ST, MITCHELL, SD 57301-5415
(605) 996-2899
(605) 996-0721
Mailing address
40460 254TH ST, MITCHELL, SD 57301-5415
(605) 996-2899
(605) 996-0721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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