Individual
ALYSSA JOY PENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 E MAIN ST, SPRING ARBOR, MI 49283-9617
(248) 924-5438
Mailing address
7780 KOOKABURRA CT APT 408, DEXTER, MI 48130-1582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851105706
MI
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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