Individual
BROOKE N KUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
(715) 234-9101
(715) 234-0748
Mailing address
1016 LAKESHORE DR, RICE LAKE, WI 54868-1225
(715) 234-9101
(715) 234-0748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4122-154
WI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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