Individual
ABIGAIL ROSE KONITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
Mailing address
8084 SOUKUP RD, COLEMAN, WI 54112-9639
(920) 373-1872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4437
WI
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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