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Individual

KELLY JEAN KREITER PENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 326-6431
Mailing address
1640 WISCONSIN ST, LE CLAIRE, IA 52753-9615
(563) 528-1708

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
118672
IA

Other

Enumeration date
04/21/2023
Last updated
04/21/2023
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