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1528317260
MARIE NICOLE KENWORTHY
ANCHORAGE, AK
NPI
1528317260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 402)
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- MARIE NICOLE KENWORTHY CCC-SLP
4050 LAKE OTIS PKWY TIME FOR SPEECH
ANCHORAGE, AK 99508
Phone number: 907-563-1167
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Mailing Address
-- MARIE NICOLE KENWORTHY CCC-SLP
2114 E 56TH AVE #106
ANCHORAGE, AK 99507
Phone number: 989-709-7105
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