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1346372448
LARISSA STEWART
LEAD, SD
NPI
1346372448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2007-03-12
Last Update Date
2010-01-26
Business Address
-- LARISSA STEWART MA, CCC-SLP
210 ANDERSON ST
LEAD, SD 57754-1402
Phone number: 605-641-3156
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Mailing Address
-- LARISSA STEWART MA, CCC-SLP
210 ANDERSON ST
LEAD, SD 57754-1402
Phone number: 605-641-3156
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