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Individual
LEONARD R PENNISI
Active
Individual
LEONARD R PENNISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109222
MI
1041C0700X
Clinical Social Worker
6801102453
MI
1041C0700X
Clinical Social Worker
Primary
6801109222
MI
Other
Enumeration date
02/28/2019
Last updated
08/24/2026
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