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Individual

MADLEN PENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2963 W DISCOVERY LOOP, WASILLA, AK 99654-1257
(907) 444-5005
Mailing address
2963 W DISCOVERY LOOP, WASILLA, AK 99654-1257
(907) 444-5005

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
183144
AK

Other

Enumeration date
10/13/2020
Last updated
09/13/2021
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