Individual
THERESA KAMENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 MIDWAY RD STE 1, MENASHA, WI 54952-1228
(920) 967-1710
Mailing address
N9462 CUMBERLAND DR, APPLETON, WI 54915-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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