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Individual

MS. JANETTE LYNN PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSWA

Contact information

Practice address
1219 SW 4TH AVE, ONTARIO, OR 97914-4566
(541) 889-2668
Mailing address
125 NW 2ND ST, ONTARIO, OR 97914-2413
(208) 739-3230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A4693
OR

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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