Organization
BRUCE R PENN INC
Active
Other names
Healing Transitions Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY F PENN LCSW (AUTHORIZED OFFICIAL)
(770) 908-1746
Entity
Organization
Contact information
Practice address
5165 LAVISTA RD, TUCKER, GA 30084-3602
(770) 908-1746
Mailing address
4378 SLEEPY HOLLOW CV, LILBURN, GA 30047-4196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002606
GA
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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