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Organization

TRASK SPEECH LANGUAGE PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY TRASK MA, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(605) 209-8792
Entity
Organization

Contact information

Practice address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 443-6164
Mailing address
13455 ROCKWOOD RD, RAPID CITY, SD 57702-6502

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/11/2022
Last updated
02/16/2023
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