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Individual

MISS MELISSA ANNE BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
28173 466TH AVE, LENNOX, SD 57039-5651
(605) 368-1380
Mailing address
28173 466TH AVE, LENNOX, SD 57039-5651

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
696-PROV
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252Y00000X
SD
Enumeration date
01/29/2017
Last updated
10/28/2025
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