Individual
DONNA KREBSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
2874 HAWKS NEST TRL, SUAMICO, WI 54313-4071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1452-154
WI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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