Individual
MISS KATIE ELIZABETH PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S 87TH AVE, TOLLESON, AZ 85353-7000
(623) 474-7000
Mailing address
2150 S 87TH AVE, TOLLESON, AZ 85353-7000
(623) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3991174
AZ
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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