Individual
NICOLE AMANDA KUECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
412 W KENNEDY ST, ALGONA, IA 50511-3100
(515) 295-2414
Mailing address
5464 410TH ST, WHITTEMORE, IA 50598-8027
(712) 298-4115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
087442
IA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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