Individual
MRS. JULIE JO MAIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3125 W FLORMANN ST, RAPID CITY, SD 57702-5081
(605) 394-1821
(605) 384-1780
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
SD
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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