Individual
KELLY L BRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1922 COUNTY ROAD NN, ELKHORN, WI 53121-4454
(262) 741-3600
Mailing address
1051 VOSS RD, ELKHORN, WI 53121-4534
(262) 210-2129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2996-154
WI
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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