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Individual

CINDY EILEEN PENKA-SHACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4531 E DANBURY RD, PHOENIX, AZ 85032-2367
(602) 558-3463
Mailing address
4531 E DANBURY RD, PHOENIX, AZ 85032-2367
(602) 558-3463

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3491
AZ

Other

Enumeration date
01/31/2019
Last updated
01/31/2019
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