Individual
MS. MACKENZIE ALLISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
435 S KINZER AVE, NEW HOLLAND, PA 17557-8706
(717) 351-2468
Mailing address
32 E GRANT ST, LITITZ, PA 17543-7963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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