Individual
GRACE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7132-154
WI
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/11/2025
Last updated
08/14/2025
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