Individual
MISS JENNA THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
200 WILLOW ST., HARRISBURG, SD 57032
(605) 759-8464
Mailing address
200 WILLOW ST., HARRISBURG, SD 57032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118-SLP
SD
Other
Enumeration date
06/05/2013
Last updated
10/07/2016
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