Individual
MIKENZIE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 COUNTY ROAD II, NEENAH, WI 54956-1948
(920) 751-6975
Mailing address
3520 CHERRYVALE AVE APT 81, APPLETON, WI 54913-9027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14401582
WI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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