Individual
EMILY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N MAPLE, WATERTOWN, SD 57201-6806
(605) 882-6390
(605) 882-6391
Mailing address
1701 N MAPLE, WATERTOWN, SD 57201-6806
(605) 882-6390
(605) 882-6391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
662-PROV
SD
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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