Individual
MISS CHERYL LYNN JURACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
406 W 14TH AVE, TYNDALL, SD 57066-2280
(605) 589-3134
Mailing address
406 W 14TH AVE, TYNDALL, SD 57066-2280
(605) 589-3134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
312-LIMITED
SD
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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