Individual
ALIECE FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 E HAVENS AVE, MITCHELL, SD 57301
(605) 995-6373
Mailing address
200 E HAVENS AVE, MITCHELL, SD 57301
(605) 995-6373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1140-SLP
SD
Other
Enumeration date
01/03/2023
Last updated
09/26/2023
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