Individual
MACKENZIE FREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
149 5TH AVE, PHOENIXVILLE, PA 19460-3948
(484) 948-0042
Mailing address
149 5TH AVE, PHOENIXVILLE, PA 19460-3948
(484) 948-0042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12036
CA
235Z00000X
Speech-Language Pathologist
Primary
SL014532
PA
Other
Enumeration date
10/05/2018
Last updated
04/26/2023
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