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Individual

MISS HEATHER PENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1356 COLE ST, ENUMCLAW, WA 98022-2633
(360) 825-4586
Mailing address
1356 COLE ST, ENUMCLAW, WA 98022-2633
(360) 825-4586

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC 00040319
WA

Other

Enumeration date
03/13/2008
Last updated
03/17/2008
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