Individual
MADELINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
321 BUTTS AVE, TOMAH, WI 54660-1412
(608) 374-1273
Mailing address
723 S WATER ST, SPARTA, WI 54656-2305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4865-15
WI
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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