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Individual

SERENA KAY PENROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3440 CHALK RIDGE RD, VANCEBURG, KY 41179-6521
(330) 731-1090
Mailing address
3440 CHALK RIDGE RD, VANCEBURG, KY 41179-6521
(330) 731-1090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
257290
KY

Other

Enumeration date
07/31/2018
Last updated
01/23/2026
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