Individual
MRS. AMY LAURELL KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
2508 COOPER AVE, SHEBOYGAN, WI 53083-4471
(920) 889-5095
Mailing address
2508 COOPER AVE, SHEBOYGAN, WI 53083-4471
(920) 889-5095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2414-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42587200
—
WI
Enumeration date
08/12/2006
Last updated
08/06/2019
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