Individual
GEORGETTA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
Mailing address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007351
PA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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