Individual
MADISON MARIE WIEBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
8011 S CINNAMON RIDGE PL, SIOUX FALLS, SD 57108-6466
(605) 271-1852
Mailing address
8011 S CINNAMON RIDGE PL, SIOUX FALLS, SD 57108-6466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
886
SD
Other
Enumeration date
06/17/2020
Last updated
10/23/2023
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