Individual
TRACY OLKONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
502 COPPER ST STE 2, HURLEY, WI 54534-1386
(715) 561-2191
Mailing address
N8940 VAN BUSKIRK RD, IRONWOOD, MI 49938-9307
(715) 862-0278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3925-154
WI
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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