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1164035630
MADELINE PENNEBAKER
SOMERVILLE, MA
NPI
1164035630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 77697)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
MADELINE PENNEBAKER
16 BUCKINGHAM ST APT 2
SOMERVILLE, MA 02143-4313
Phone number: 617-475-0462
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Mailing Address
MADELINE PENNEBAKER
16 BUCKINGHAM ST APT 2
SOMERVILLE, MA 02143-4313
Phone number: 713-498-6194
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