Individual
NICOLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22892 ABERDEEN CT, RAPID CITY, SD 57703-9032
(605) 440-1155
Mailing address
22892 ABERDEEN CT, RAPID CITY, SD 57703-9032
(605) 440-1155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
620
SD
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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