Individual
MRS. MARLENE ANN PETTIFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2242 TIMBERCREST DR, COLUMBUS, IN 47203-4001
(812) 378-6098
(812) 378-6098
Mailing address
2242 TIMBERCREST DR, COLUMBUS, IN 47203-4001
(812) 378-6098
(812) 378-6098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003457A
IN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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