Individual
MRS. MALI ELIZABETH TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2501 W. 26TH STREET, SIOUX FALLS, SD 57105
(605) 444-9569
Mailing address
2501 W 26TH ST, SIOUX FALLS, SD 57105
(605) 444-9569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
766-PROV
SD
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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