Individual
LORI ANN KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
28922 264TH ST, WOOD, SD 57585-8524
(605) 452-3469
Mailing address
28922 264TH ST, WOOD, SD 57585-8524
(605) 452-3469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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