Individual
MRS. JACQUELYN BROOKE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF
Contact information
Practice address
424 AKERS DRIVE, WILMORE, KY 78232
(210) 273-9610
Mailing address
424 AKERS DRIVE, WILMORE, KY 78232
(210) 273-9610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103358
TX
Other
Enumeration date
06/20/2007
Last updated
10/10/2008
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