Individual
VICKI LEANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FLORMANN ST, RAPID CITY, SD 57701-5542
(605) 394-1833
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-1833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23100000X
—
SD
Enumeration date
03/14/2018
Last updated
03/14/2018
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