Individual
MRS. KELLY ANN WINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
W4502 DOGWOOD LN, FOND DU LAC, WI 54937-6204
(920) 579-2200
Mailing address
W4502 DOGWOOD LN, FOND DU LAC, WI 54937-6204
(920) 579-2200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2811-154
WI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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