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Organization
MEQUON SPEECH AND LEARNING CONNECTION
Active
Organization
MEQUON SPEECH AND LEARNING CONNECTION
Active
Other names
Milwaukee Myo
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HERKLOTZ MA CCC-SLP, COM (OWNER)
(262) 302-4166
Entity
Organization
Contact information
Practice address
1025 W GLEN OAKS LN STE 107, MEQUON, WI 53092-3372
(262) 302-4166
Mailing address
1025 W GLEN OAKS LN STE 107, MEQUON, WI 53092-3372
(262) 302-4166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487843074
NPI
—
01
—
1497112122
NPI
—
Enumeration date
02/27/2018
Last updated
08/07/2019
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