Individual
STEFANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 5TH ST, RAPID CITY, SD 57701-7317
(605) 719-1100
Mailing address
920 S 34TH ST APT 2, SPEARFISH, SD 57783-9423
(641) 430-6031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
288- PROV.
SD
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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