Individual
JAMIE PORTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1500 S 3RD ST, ABERDEEN, SD 57401-6957
(605) 725-7618
Mailing address
1500 S 3RD ST, ABERDEEN, SD 57401-6957
(605) 725-7618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
SD
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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