Individual
MARILOU PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1111 KAUPAKALUA RD, HAIKU, HI 96708-5239
(808) 269-7411
Mailing address
1111 KAUPAKALUA RD, HAIKU, HI 96708-5239
(808) 269-7411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3959
HI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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