JASON VITUS FORNWALD

SIOUX FALLS, SD
NPI1780358317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-08-06
Last Update Date2021-08-06
Business Address
Prof. JASON VITUS FORNWALD Ed.S, MS CCC-SLP
520 S 1ST AVE
SIOUX FALLS, SD 57104-6902
Phone number: 605-336-7561
Mailing Address
Prof. JASON VITUS FORNWALD Ed.S, MS CCC-SLP
520 S 1ST AVE
SIOUX FALLS, SD 57104-6902
Phone number: 605-336-7561
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