Individual
CONNIE WILLEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18505 TONTOGANY CREEK ROAD, TONTOGANY, OH 43565
(419) 823-4381
Mailing address
1135 SANDUSKY PL, PERRYSBURG, OH 43551-3146
(419) 872-0456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 7301
OH
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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