Individual
MARY PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10731 N STATE ROAD 13, ELWOOD, IN 46036-8874
(317) 574-1254
(317) 574-1230
Mailing address
17840 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 574-1254
(317) 574-1230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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