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Individual
PENNY SKOOG
Active
Individual
PENNY SKOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201907597RN
OR
320800000X
Mental Illness Community Based Residential Treatment Facility
—
OR
Other
Enumeration date
06/17/2020
Last updated
10/08/2026
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