Individual
ELLISON DAWN FEDDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6028
(605) 444-9700
Mailing address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6028
(605) 444-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1000PROV
SD
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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