Individual
MS. JUDITH MARIE PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8801 W 11TH ST N, WICHITA, KS 67212-4024
(316) 390-6547
Mailing address
8801 W 11TH ST N, WICHITA, KS 67212-4024
(316) 390-6547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6917
KS
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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