Individual
CARRIE NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
310 5TH ST, HAYTI, SD 57241
(605) 783-3607
(605) 783-3259
Mailing address
PO BOX 327, HAYTI, SD 57241-0327
(605) 783-3607
(605) 783-3259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
240-LIMITED
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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