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Madison Marie Wiebers, ST

Speech-Language Pathologist, in Sioux Falls, SD. Individual provider (NPI-1).

NPI number1164048039
StatusActive
Last updated in NPPESOct 23, 2023

Details

NPI
1164048039
Entity type
Individual (NPI-1)
Name
Madison Marie Wiebers
Credential
ST
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2020
Certification date
Oct 23, 2023
Last updated
Oct 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,886SDYes

Practice location

8011 S Cinnamon Ridge Pl
Sioux Falls, SD 57108-6466

Phone 605-271-1852

Mailing address

8011 S Cinnamon Ridge Pl
Sioux Falls, SD 57108-6466

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