Individual
AGNIESZKA KINICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5115 N BILTMORE LN, MADISON, WI 53718-2161
(608) 592-8100
Mailing address
6061 GATES AVE, RIDGEWOOD, NY 11385-2544
(646) 472-4891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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