Individual
MAKAILA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6028
(605) 444-9830
Mailing address
7605 W LEAH ST, SIOUX FALLS, SD 57106-4729
(605) 759-3678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SD
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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