Individual
JACQUELINE ANN KUBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP- CFY
Contact information
Practice address
3415 SHERIDAN ROAD, KENOSHA, WI 53140-1995
(262) 653-2941
Mailing address
3415 SHERIDAN ROAD, KENOSHA, WI 53140-1995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3753-154
WI
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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