Individual
CARMEN KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 CHEYENNE CT, DEFOREST, WI 53532-1007
(608) 516-3702
Mailing address
300 CHEYENNE CT, DEFOREST, WI 53532-1007
(608) 516-3702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5297
WI
235Z00000X
Speech-Language Pathologist
Primary
5297-154
WI
Other
Enumeration date
07/13/2021
Last updated
10/26/2022
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