Individual
ALLISON KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 LAUREL ST, TYNDALL, SD 57066-2214
(605) 362-3100
Mailing address
PO BOX 268, TYNDALL, SD 57066-0268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
887-SLP
SD
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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