Individual
CAROL ANN FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.C.
Contact information
Practice address
2310 HOMESTEAD RD, C #221, LOS ALTOS, CA 94024-7339
(650) 383-7299
Mailing address
2310 HOMESTEAD RD, C #221, LOS ALTOS, CA 94024-7339
(650) 383-7299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3395
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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