Individual
PENNY KAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1459 N MAIN ST # 100, BOUNTIFUL, UT 84010-6092
(801) 298-2000
Mailing address
1412 N 50 E, CENTERVILLE, UT 84014-1221
(801) 866-2991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13224624-3502
UT
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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