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1952902165
KENNA WIECZOREK
PIERRE, SD
NPI
1952902165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SD 1123)
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
KENNA WIECZOREK OTD, OTR/L
801 E SIOUX AVE
PIERRE, SD 57501-3323
Phone number: 605-224-3162
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Mailing Address
KENNA WIECZOREK OTD, OTR/L
108 E 4TH AVE
FORT PIERRE, SD 57532-2341
Phone number: 605-280-3918
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