Individual
MR. CHARLES PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3419 BROOKEN HILL DR, FORT SMITH, AR 72908-9255
(479) 414-3057
Mailing address
3419 BROOKEN HILL DR, FORT SMITH, AR 72908-9255
(479) 414-3057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1544M
AR
Other
Enumeration date
06/17/2006
Last updated
12/02/2013
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