Individual
TANIA LYN WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
29531 SD HIGHWAY 47, BURKE, SD 57523-5146
(605) 775-2013
Mailing address
29531 SD HIGHWAY 47, BURKE, SD 57523-5146
(605) 775-2013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
162-SLP
SD
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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