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Individual

BARBARA BOHLANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 CHICAGO STREET, JAVA, SD 57452
(605) 649-6296
Mailing address
13150 SITTING BULL RD, MOBRIDGE, SD 57601-7501
(601) 845-5997

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075-SLP
SOUTH DAKOTA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY
SD
Enumeration date
09/01/2016
Last updated
11/04/2016
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