Individual
JUDY BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WALNUT AVE SW, WAGNER, SD 57380-9307
(605) 384-4354
Mailing address
PO BOX 430, TYNDALL, SD 57066-0430
(605) 589-3134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
188
SD
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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