Individual
KELSEY LEE LACK BJELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9206
Mailing address
860 GARDEN DR, APT. 63, SUN PRAIRIE, WI 53590-4176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3830-154
WI
Other
Enumeration date
07/01/2013
Last updated
04/13/2021
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