Individual
KELLI DE WAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1216 N GARFIELD AVE, DELL RAPIDS, SD 57022-1837
(605) 428-5473
Mailing address
6509 W ALYSSUM ST, SIOUX FALLS, SD 57107-1605
(605) 261-7893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
558-PROV
SD
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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