HENRY LEO LORD

RAPID CITY, SD
NPI1487772505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2007-03-27
Last Update Date2007-07-09
Business Address
-- HENRY LEO LORD CCCSLP
7110 JORDAN DRIVE
RAPID CITY, SD 57702
Phone number: 605-342-4412
Mailing Address
-- HENRY LEO LORD CCCSLP
619 WESTWIND DR
RAPID CITY, SD 57702-2067
Phone number: 605-716-3674