Individual
MRS. LINDSY JO WATHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
13232 KLONDIKE ROAD, RAPID CITY, SD 57702
(605) 209-2246
Mailing address
13232 KLONDIKE RD, RAPID CITY, SD 57702-7426
(605) 209-2246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
SD
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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