Individual
ANN M. KLECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
3502 MAPLE GROVE DR, MADISON, WI 53719-4879
(608) 442-2000
Mailing address
5545 COUNTY ROAD A, BROOKLYN, WI 53521-9443
(608) 835-8331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42638500
—
WI
Enumeration date
01/19/2009
Last updated
01/19/2009
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