Individual
MS. KAREN PENICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3100 E AVE NW, STE 101, CEDAR RAPIDS, IA 52405
(319) 396-3110
(319) 396-8779
Mailing address
800 1ST ST NW, CEDAR RAPIDS, IA 52405
(319) 396-1066
(319) 396-8779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01444
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37193
BCBS
IA
Enumeration date
08/18/2005
Last updated
07/08/2007
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