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1497161186
KATTIE LAIL
RAPID CITY, SD
NPI
1497161186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD 6930)
Enumeration Date
2014-07-02
Last Update Date
2014-07-02
Business Address
-- KATTIE LAIL A.C.T.
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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Mailing Address
-- KATTIE LAIL A.C.T.
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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