Individual
ANASTASIA MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W HAVENS AVE, SUITE 103, MITCHELL, SD 57301-4366
(605) 995-6044
(605) 995-6044
Mailing address
PO BOX 1284, MITCHELL, SD 57301-7284
(605) 995-6044
(605) 995-6044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
636-PROV
SD
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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