TARA JOHNSON

RAPID CITY, SD
NPI1649678681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SD  545-prov)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
-- TARA JOHNSON
1774 CENTRE ST
RAPID CITY, SD 57703-4029
Phone number: 605-863-1833
Mailing Address
-- TARA JOHNSON
1774 CENTRE ST
RAPID CITY, SD 57703-4029
Phone number: 605-863-1833