Individual
MRS. KIMBERLY MARIE ZIETLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
233 S 3RD AVE, WINNECONNE, WI 54986-9646
(920) 582-5803
Mailing address
6445 OAK DR, AMHERST, WI 54406-9189
(715) 824-6859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
820
WI
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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