Individual
KENDRA MAKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP-L
Contact information
Practice address
114 W ELM ST, SILVER LAKE, WI 53170-1509
(847) 401-3479
Mailing address
114 W ELM ST, SILVER LAKE, WI 53170-1509
(847) 401-3479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4490
WI
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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