Individual
MELANIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 E RED OAK DR, SIOUX FALLS, SD 57110-4002
(605) 371-4170
Mailing address
5701 E RED OAK DR, SIOUX FALLS, SD 57110-4002
(605) 371-4170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
609-PROV
SD
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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