Individual
CONNIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1408
Mailing address
3281 JIM ST APT 201, RAPID CITY, SD 57703-7079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1378-PROV
SD
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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