Individual
KATTIE LAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.T.
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6930
SD
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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