Individual
LISA COSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E 2ND ST, REDFIELD, SD 57469
(605) 472-4520
Mailing address
502 E 2ND ST, REDFIELD, SD 57469
(605) 472-4520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
289-SLP
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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