Individual
KIA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
2908 5TH ST, RAPID CITY, SD 57701-7317
(605) 755-1408
Mailing address
764 FIELD VIEW DR, RAPID CITY, SD 57701-2140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
723-PROV
SD
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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