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Individual

KRISTIN ELIZABETH WIKLUND

Active
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Individual

KRISTIN ELIZABETH WIKLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011939
IL
235Z00000X
Speech-Language Pathologist
3254-154
WI
235Z00000X
Speech-Language Pathologist
9655
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146011939
ILLINOIS STATE LICENSE
IL
01
3254-154
SPEECH-LANGUAGE-PATHOLOGIST
WI
Enumeration date
06/26/2009
Last updated
05/09/2016
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