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1194159756
JESSICA PENZA
PHILADELPHIA, PA
NPI
1194159756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL011550)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
-- JESSICA PENZA CCC-SLP
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116-3905
Phone number: 856-628-1429
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Mailing Address
-- JESSICA PENZA CCC-SLP
10816 HARROW RD
PHILADELPHIA, PA 19154-3914
Phone number: 856-628-1429
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