PHYLLIS ANTOINETTE KENWORTHY

LAKEWOOD, CA
NPI1992945919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  12201)
Enumeration Date2009-03-03
Last Update Date2009-03-05
Business Address
-- PHYLLIS ANTOINETTE KENWORTHY M.A.CCC/SLP
3700 SOUTH ST
LAKEWOOD, CA 90712-1419
Phone number: 562-272-6497
Mailing Address
-- PHYLLIS ANTOINETTE KENWORTHY M.A.CCC/SLP
18627 BROOKHURST ST #104
FOUNTAIN VALLEY, CA 92708-6748
Phone number: 714-312-8112