Individual
MS. SUSAN KUENSLI AGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1373 SERVAIS ST, GREEN BAY, WI 54304-3135
(920) 819-6052
Mailing address
1373 SERVAIS ST, GREEN BAY, WI 54304-3135
(920) 819-6052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01076978
ASHA
WI
Enumeration date
12/28/2011
Last updated
12/28/2011
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