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1548412398
STACIE CARLSON
SIOUX FALLS, SD
NPI
1548412398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SD 60526-01)
Enumeration Date
2008-10-10
Last Update Date
2020-07-15
Business Address
STACIE CARLSON
520 S 1ST AVE
SIOUX FALLS, SD 57104-6902
Phone number: 605-336-7561
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Mailing Address
STACIE CARLSON
740 FOX CT
TEA, SD 57064-3214
Phone number: 605-593-1877
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