Individual
MRS. KRISTINE ANN KONITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
W2712 STATE ROAD 67, IRON RIDGE, WI 53035-9658
(262) 305-4659
(262) 673-9727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1563-154
WI
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004293
CO
Other
Enumeration date
04/24/2007
Last updated
07/12/2022
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