Individual
KATHERINE ROBERTS PENNYPACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 HANCOCK AVE, LAKE BLUFF, IL 60044-2022
(303) 501-9970
Mailing address
900 NORTH SHORE DR STE 200, LAKE BLUFF, IL 60044-2225
(303) 501-9970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149029388
IL
Other
Enumeration date
09/08/2022
Last updated
06/30/2025
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