Individual
MRS. BILLI JAE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8 5TH ST SE, WATERTOWN, SD 57201-3713
(605) 753-5400
(605) 753-6208
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(055) 411-1406
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
123POO
IA
235Z00000X
Speech-Language Pathologist
Primary
954-SLP
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601260
—
IA
05
—
0655407
—
IA
05
—
0803635
—
IA
Enumeration date
11/14/2006
Last updated
03/04/2022
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