Individual
KIMBERLY PENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
31 GREENBRIAR DR, MATTOON, IL 61938-9011
(262) 488-7070
Mailing address
31 GREENBRIAR DR, MATTOON, IL 61938-9011
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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