Individual
KAHO KRACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2900 MAIN ST STE 1D, STRATFORD, CT 06614-4946
(203) 378-0092
(203) 375-4540
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006180
CT
Other
Enumeration date
08/03/2020
Last updated
12/22/2022
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