Individual
EMILY PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 379-4304
Mailing address
1510 W OTTAWA RD, PAXTON, IL 60957-4090
(217) 379-4302
(217) 379-4304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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