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Individual

TERRI JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-3446
Mailing address
501 E HOLLY BLVD, BRANDON, SD 57005-1277
(605) 582-3446

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100-SLP
SD

Other

Enumeration date
05/27/2016
Last updated
05/27/2016
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