LISA MICHELLE PENK

INDIANAPOLIS, IN
NPI1265766240
Other NameLISA MICHELLE WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22004846A)
Enumeration Date2009-09-24
Last Update Date2009-09-24
Business Address
-- LISA MICHELLE PENK MS, CCC-SLP
8549 MADISON AVE
INDIANAPOLIS, IN 46227-6153
Phone number: 317-881-9164
Mailing Address
-- LISA MICHELLE PENK MS, CCC-SLP
4714 W STONEHAVEN LN
NEW PALESTINE, IN 46163-9087
Phone number: 317-910-0327
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