Organization
UNLOCKED POTENTIAL, LLC
Active
Other names
Unlocked Potential
Organization subpart
No
Provider details
NPI number
Authorized official
MADLEN PENN MS, CCC-SLP (OWNER)
(907) 444-5005
Entity
Organization
Contact information
Practice address
564 S DENALI ST, PALMER, AK 99645-6447
(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
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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