Individual
DAKOTA LYNN PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2532 N 4TH ST # 481, FLAGSTAFF, AZ 86004-3712
(928) 226-1563
Mailing address
801 W JORDAN RANCH RD, KINGMAN, AZ 86409-9262
(928) 530-4903
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15196
AZ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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