Individual
MRS. AUTUMN DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1817 VALLEY DR, BELLE FOURCHE, SD 57717-2041
(605) 723-3382
Mailing address
1817 VALLEY DR, BELLE FOURCHE, SD 57717-2041
(605) 723-3382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
902-SLP
SD
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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