Individual
ELIZABETH LAURA KOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 405-7743
(414) 604-2200
Mailing address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 405-7743
(414) 604-2200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6930-154
WI
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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