Individual
MS. VICKI L PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, LMSW
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
Mailing address
PO BOX 467, NEWTON, KS 67114-0467
(800) 992-6292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9670
KS
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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