Individual
KATHERINE E DUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027
(262) 670-4305
(262) 670-4303
Mailing address
7839 HILLCREST DR, WAUWATOSA, WI 53213-2134
(414) 258-2713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1946-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109200
—
WI
Enumeration date
05/31/2007
Last updated
07/08/2007
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