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Individual
EMILY A KIECK
Active
Individual
EMILY A KIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3078-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447589585
—
WI
01
—
HOUKEMI
MERCYCARE INSURANCE
WI
Enumeration date
12/21/2009
Last updated
01/13/2015
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