Individual
ALICIA KRAUCUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-6077
Mailing address
S82W35901 EAGLE DR, EAGLE, WI 53119-1420
(262) 594-3162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
230-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42780100
—
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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