Individual
JAYNE RUBENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1421 N CAPITAL ST, MITCHELL, SD 57301-1152
(605) 996-4634
Mailing address
1421 N CAPITAL ST, MITCHELL, SD 57301-1152
(605) 996-4634
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
62759-1
SD
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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