Individual
DONNA RENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
514 AMERICAS WAY, PMB 5155, BOX ELDER, SD 57719-7600
(916) 251-6729
Mailing address
514 AMERICAS WAY, PMB 5155, BOX ELDER, SD 57719-7600
(916) 251-6729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60595952
WA
235Z00000X
Speech-Language Pathologist
SD11384
CA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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