Individual
KEELI CWACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W 5TH AVE, LENNOX, SD 57039-2292
(605) 647-2203
Mailing address
305 W 5TH AVE, LENNOX, SD 57039-2292
(605) 647-2203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1182-PROV
SD
Other
Enumeration date
08/23/2023
Last updated
08/25/2023
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