Individual
MRS. APRIL LEE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 N OLD CABIN TRL, SIOUX FALLS, SD 57110-6218
(605) 362-2784
Mailing address
504 N OLD CABIN TRL, SIOUX FALLS, SD 57110-6218
(605) 362-2784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112-SLP
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112
—
SD
Enumeration date
08/19/2016
Last updated
08/19/2016
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