Individual
MRS. KELLY J FISK-WANZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
28639 LASER AVE, REDWOOD FALLS, MN 56283-2423
(507) 644-2017
Mailing address
28639 LASER AVE, REDWOOD FALLS, MN 56283-2423
(507) 644-2017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2827-154
WI
235Z00000X
Speech-Language Pathologist
Primary
397218
MN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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